Organization
SUPERSMILES KDS DENTAL PC
Active
Other names
SUNNY SMILES 4 KIDS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PARASKEVAS KOURTSOUNIS DDS (OWNER)
(631) 451-7700
Entity
Organization
Contact information
Practice address
750 ROANOKE AVE, RIVERHEAD, NY 11901-2791
(631) 727-8585
(631) 727-8589
Mailing address
750 ROANOKE AVE, RIVERHEAD, NY 11901
(631) 727-8585
(631) 727-8589
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
053121
NY
Other
Enumeration date
08/02/2018
Last updated
02/24/2025
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