Shine Pediatric Dentistry
Dentist, Pediatric Dentistry in Bayside, NY. Organization (NPI-2).
NPI number1104758317
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1104758317
- Entity type
- Organization (NPI-2)
- Legal business name
- Shine Pediatric Dentistry
- Organization subpart
- No
- Enumeration date
- Jun 1, 2026
- Certification date
- Jun 1, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
20012 44th AveBayside, NY 11361-2537
Phone 929-389-1663
Mailing address
16 Martin CtGreat Neck, NY 11024-1620
Phone 516-695-0103
Authorized official
Elliot Abraham Shine
Ceo
5166950103
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Other Pediatric Dentistry providers in Bayside, NY
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- Despina Pappas, DDSNPI 1932313806
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- Pappas Pediatric Dentistry PLLCNPI 1700410974
- Katherine Sporn, D.M.D.NPI 1275758492
- Suet Wu DDS PCNPI 1285922385
- Stella Ei Be Tan, D.D.SNPI 1871755462
- Vered Maslavi, DDS, PCNPI 1013132554
All 12 Pediatric Dentistry providers in Bayside · All 1,933 providers in Bayside
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