OrganizationActive
South Shore Long Island Periodontics and Implantology
NPI 1417755596 · Periodontics · Wantagh, NY
South Shore Long Island Periodontics and Implantology is a Periodontics organization in Wantagh, NY (NPI 1417755596).
Provider details
- NPI number
- 1417755596
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Joo Kim, Partner(516) 826-4949
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 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
3366 Park Ave
Wantagh, NY 11793-3770
Phone: (516) 826-4949
Street-level locationGet directions
Mailing address
3366 Park Ave
Wantagh, NY 11793-3770
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is South Shore Long Island Periodontics and Implantology's NPI number?
- South Shore Long Island Periodontics and Implantology's National Provider Identifier (NPI) is 1417755596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Long Island Periodontics and Implantology?
- South Shore Long Island Periodontics and Implantology is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is South Shore Long Island Periodontics and Implantology located?
- South Shore Long Island Periodontics and Implantology's practice location on file with NPPES is 3366 Park Ave, Wantagh, NY 11793-3770.
- What is South Shore Long Island Periodontics and Implantology's phone number?
- The practice phone number listed in the NPPES registry for South Shore Long Island Periodontics and Implantology is (516) 826-4949.
- Who is the authorized official for South Shore Long Island Periodontics and Implantology?
- The authorized official listed on South Shore Long Island Periodontics and Implantology's NPPES record is Joo Kim, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Long Island Periodontics and Implantology's NPI active?
- Yes — South Shore Long Island Periodontics and Implantology's NPI (1417755596) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.