Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PEDIATRIC DENTISTRY OF SUFFOLK COUNTY
Active
Organization
PEDIATRIC DENTISTRY OF SUFFOLK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IOANNOU (PEDIATRIC DENTIST)
(631) 486-6364
Entity
Organization
Contact information
Practice address
2171 JERICHO TPKE, SUITE 145, COMMACK, NY 11725-2937
(631) 486-6364
Mailing address
2171 JERICHO TPKE, SUITE 145, COMMACK, NY 11725-2937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050315
NY
122300000X
Dentist
053854-1
NY
122300000X
Dentist
054175
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up