Smile Big Dental PLLC
Dentist, Pediatric Dentistry in West Islip, NY. Organization (NPI-2).
NPI number1982575387
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1982575387
- Entity type
- Organization (NPI-2)
- Legal business name
- Smile Big Dental PLLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2025
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
456 Union BlvdWest Islip, NY 11795-3104
Phone 631-576-0055
Mailing address
500 Portion Rd Ste 16Ronkonkoma, NY 11779-4587
Phone 631-451-7700
Authorized official
Christine Branigan
Credentialing Manager
6314517700
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