OrganizationActive
Shine Pediatric Dentistry
NPI 1104758317 · Pediatric Dentistry · Bayside, NY
Shine Pediatric Dentistry is a Pediatric Dentistry organization in Bayside, NY (NPI 1104758317).
Provider details
- NPI number
- 1104758317
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Elliot Shine, Ceo(516) 695-0103
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
20012 44th Ave
Bayside, NY 11361-2537
Phone: (929) 389-1663
Street-level locationGet directions
Mailing address
16 Martin Ct
Great Neck, NY 11024-1620
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Shine Pediatric Dentistry's NPI number?
- Shine Pediatric Dentistry's National Provider Identifier (NPI) is 1104758317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shine Pediatric Dentistry?
- Shine Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Shine Pediatric Dentistry located?
- Shine Pediatric Dentistry's practice location on file with NPPES is 20012 44th Ave, Bayside, NY 11361-2537.
- What is Shine Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Shine Pediatric Dentistry is (929) 389-1663.
- Who is the authorized official for Shine Pediatric Dentistry?
- The authorized official listed on Shine Pediatric Dentistry's NPPES record is Elliot Shine, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shine Pediatric Dentistry's NPI active?
- Yes — Shine Pediatric Dentistry's NPI (1104758317) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.