Organization
CENTRAL SUFFOLK DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT A JAIN DDS (OWNER)
(323) 275-8236
Entity
Organization
Contact information
Practice address
500 PORTION RD STE 3, RONKONKOMA, NY 11779-4587
(631) 471-4500
Mailing address
500 PORTION RD STE 3, RONKONKOMA, NY 11779-4587
(631) 471-4500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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