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South Shore Pediatric Dentistry PC

Orthodontics and Dentofacial Orthopedics Dentistry in East Patchogue, NY · enumerated 2007 · authorized official Ross Gruber, Owner.

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

National Provider Identifier

1952528341

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Registry record

Entity type Organization (Type 2)
Legal business name South Shore Pediatric Dentistry PC
Practice address 285 Sills Rd, Suite 3b, East Patchogue, NY, 11772
Fax (631) 289-9009
Enumeration date Apr 19, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 045321-1 (NY) Secondary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 048497-1 (NY) Primary

Authorized official

Name Ross Gruber
Title Owner

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is South Shore Pediatric Dentistry PC located?
The practice location on file with NPPES is in East Patchogue, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.