South Shore Pediatric Dentistry PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

048497-1 Issued in NY

Legal business name

SOUTH SHORE PEDIATRIC DENTISTRY PC

Practice address

285 Sills Rd
Suite 3B
East Patchogue, NY 11772-4869

Phone

(631) 289-9000

Fax

(631) 289-9009

NPI assigned

Apr 19, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ross E Gruber, D.D.SNPI 1720188071

Title

Owner

Phone

(631) 289-9000

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ross Evan Gruber, DDS

  • Pediatric Dentistry
  • East Patchogue, NY
  • NPI 1720188071
  NPD (past) Authorized official
• Howard Richard Miller, DMD

  • Pediatric Dentistry
  • East Patchogue, NY
  • NPI 1710078662
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952528341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "SUITE 3B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-289-9000",
            "fax_number": "631-289-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "SUITE 3B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-289-9000",
            "fax_number": "631-289-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-289-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "045321-1",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "048497-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joo H Sohn, MD
• South Country Central School District
• South Island Medical Care PC
• South Ocean Ophthalmology PC
• South Shore Family Dentistry Orthodontics P.C.
• Sowingroots LLC
• Farzana Soylu
• Spectrum Physical Therapy PC
• Maria Stamatis, PHARMD
• April Rochelle Steckle, OTRL

• Orthodontics and Dentofacial Orthopedics Dentistry in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.