Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY
Active
Organization
SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOO KIM (PARTNER)
(516) 826-4949
Entity
Organization
Contact information
Practice address
3366 PARK AVE, WANTAGH, NY 11793-3770
(516) 826-4949
Mailing address
3366 PARK AVE, WANTAGH, NY 11793-3770
(516) 826-4949
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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