Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc
Pediatric Dental Clinic
1174 Route 112 Ste B, Port Jefferson Station
New York, 11776-8033
631-676-4071 516-588-9221
Maps & DirectionsKid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc is a Pediatric Dental Clinic in Port Jefferson Station, New York. It is located at 1174 Route 112 Ste B, Port Jefferson Station, NY and its contact number is 631-676-4071. The authorized person for Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc is Cynthia Lynn Pastore
who is Insurance Coordinator of the clinic and their contact number is 516-548-8753.
Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1174 Route 112 Ste B, Port Jefferson Station,
New York, 11776-8033 |
| Phone: | 631-676-4071 |
| Fax: | 516-588-9221 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Cynthia Lynn Pastore |
| Position: | Insurance Coordinator |
| Contact Number: | 516-548-8753 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc clinic are as mentioned below.
| NPI Number: | 1144921602 |
| NPI Enumeration Date: | 13 Mar, 2023 |
| NPI Last Update On: | 13 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc
1174 Route 112 Ste B,
Port Jefferson Station, New York |
| Zip: | 11776-8033 |
| Phone Number: | 631-676-4071 |
| Fax Number: | 516-588-9221 |
Patients can reach Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc at
1174 Route 112 Ste B, Port Jefferson Station, New York or can
call to book an appointment on 631-676-4071.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.