OrganizationActive
Supersmiles Kds Dental PC
NPI 1376336628 · Pediatric Dentistry · Medford, NY
Supersmiles Kds Dental PC is a Pediatric Dentistry organization in Medford, NY (NPI 1376336628).
Provider details
- NPI number
- 1376336628
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Christine Branigan, Credentialing(631) 451-7700
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1719 N Ocean Ave Ste C
Medford, NY 11763-2669
Phone: (631) 289-0007
Street-level locationGet directions
Mailing address
500 Portion Rd Ste 16
Ronkonkoma, NY 11779-4587
Other names (DBA / former)
- Doing business as
- Supersmiles Kds IV
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-07-07
- Certified
- 2025-07-07
Frequently asked questions
- What is Supersmiles Kds Dental PC's NPI number?
- Supersmiles Kds Dental PC's National Provider Identifier (NPI) is 1376336628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supersmiles Kds Dental PC?
- Supersmiles Kds Dental PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Supersmiles Kds Dental PC located?
- Supersmiles Kds Dental PC's practice location on file with NPPES is 1719 N Ocean Ave Ste C, Medford, NY 11763-2669.
- What is Supersmiles Kds Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Supersmiles Kds Dental PC is (631) 289-0007.
- Who is the authorized official for Supersmiles Kds Dental PC?
- The authorized official listed on Supersmiles Kds Dental PC's NPPES record is Christine Branigan, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supersmiles Kds Dental PC's NPI active?
- Yes — Supersmiles Kds Dental PC's NPI (1376336628) is active in the NPPES registry as of the last update on 2025-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.