Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kid Smiles Pediatric Dentistry of Port Jefferson Station Pllc

Pediatric Dentistry in Port Jefferson Station, NY · enumerated 2023 · authorized official Cynthia Pastore, Insurance Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144921602

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Registry record

Entity type Organization (Type 2)

Legal business name Kid Smiles Pediatric Dentistry of Port Jefferson Station Pllc

Practice address 1174 Route 112 Ste B, Port Jefferson Station, NY, 11776

Phone (631) 676-4071

Fax (516) 588-9221

Enumeration date Mar 13, 2023

Last updated in NPPES Mar 13, 2023

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Cynthia Pastore

Title Insurance Coordinator

Phone (516) 548-8753

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Kid Smiles Pediatric Dentistry of Port Jefferson Station Pllc located?

The practice location on file with NPPES is in Port Jefferson Station, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-13. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-13.