Organization
SOUTH SHORE PEDIATRIC DENTISTRY PC
Active
Organization
SOUTH SHORE PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS E GRUBER D.D.S (OWNER)
(631) 289-9000
Entity
Organization
Contact information
Practice address
285 SILLS RD, SUITE 3B, EAST PATCHOGUE, NY 11772-4869
(631) 289-9000
(631) 289-9009
Mailing address
285 SILLS RD, SUITE 3B, EAST PATCHOGUE, NY 11772-4869
(631) 289-9000
(631) 289-9009
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
045321-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048497-1
NY
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
Update your record
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 at https://nppes.cms.hhs.gov.
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