OrganizationActive
Staten Island Pediatric Dentistry
NPI 1053509687 · Pediatric Dentistry · Staten Island, NY
Staten Island Pediatric Dentistry is a Pediatric Dentistry organization in Staten Island, NY (NPI 1053509687).
Provider details
- NPI number
- 1053509687
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deborah Gries, President(718) 761-7316
- License
- 0425291 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
195 Bridgetown St
Staten Island, NY 10314-6006
Phone: (718) 761-7316
Fax: (718) 761-0558
Street-level locationGet directions
Mailing address
195 Bridgetown St
Staten Island, NY 10314-6006
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2007-10-09
Frequently asked questions
- What is Staten Island Pediatric Dentistry's NPI number?
- Staten Island Pediatric Dentistry's National Provider Identifier (NPI) is 1053509687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island Pediatric Dentistry?
- Staten Island Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Staten Island Pediatric Dentistry located?
- Staten Island Pediatric Dentistry's practice location on file with NPPES is 195 Bridgetown St, Staten Island, NY 10314-6006.
- What is Staten Island Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Staten Island Pediatric Dentistry is (718) 761-7316.
- Who is the authorized official for Staten Island Pediatric Dentistry?
- The authorized official listed on Staten Island Pediatric Dentistry's NPPES record is Deborah Gries, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island Pediatric Dentistry's NPI active?
- Yes — Staten Island Pediatric Dentistry's NPI (1053509687) is active in the NPPES registry as of the last update on 2007-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.