# SAME DAY SMILES OF COMMACK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154275923
- **Authorized official:** STEVE YUSUPOV DDS, MD (SURGEON)
- **Authorized official phone:** (516) 749-3000

## Contact information

- **Practice address:** 164 COMMACK RD, COMMACK, NY 11725-3430
- **Practice address phone:** (516) 749-3000
- **Mailing address:** 164 COMMACK RD STE 2, COMMACK, NY 11725-3430
- **Mailing address phone:** (516) 749-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2026
- **Last updated:** 02/26/2026
