SWEET TOOTH PEDIATRIC DENTISTRY (NPI# 1174124291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174124291 |
| Entity Type | Organization |
| Organization Name | SWEET TOOTH PEDIATRIC DENTISTRY |
| Practice Address |
6795 Hylan Blvd Staten Island NY 10309-3819 |
| Practice Telephone | 7189672412 |
| Practice Fax Number | 7185544515 |
| Mailing Telephone | 7189672412 |
| Mailing Fax Number | 7185544515 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. JOSEPH MICHAEL MEROLA (OWNER) |
| Authorized Official Telephone | 7189672412 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Small World Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588114227 | Sweet Tooth Pediatric Dentistry | Dentist | 583 Saybrook Rd, Middletown, CT 06457-4718 | 2016-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SWEET TOOTH PEDIATRIC DENTISTRY, LLC | 583 Saybrook Road, Middletown, CT 06457 |
| Street Address |
6795 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689873614 | Abhinav Nath Sinha | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2007-07-11 |
| 1699185991 | Joseph Michael Merola | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2014-05-07 |
| 1023248341 | Small World Dental, Pllc | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1861753949 | Brandon Joshua Jackson | Dentist | 70 Virginia Ave, Staten Island, NY 10305-1748 | 2012-06-05 |
| 1003054370 | Rachel Iospa | Dentist | 39 Heinz Ave, Staten Island, NY 10308-3329 | 2009-01-26 |
| 1689873614 | Abhinav Nath Sinha | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2007-07-11 |
| 1508994898 | Phyllis Gina Merlino | Dentist | 268 Todt Hill Rd, Staten Island, NY 10314-5532 | 2007-03-01 |
| 1174668503 | Alan Alterman | Dentist | 3611 Richmond Ave, Staten Island, NY 10312-3410 | 2007-02-21 |
| 1265495634 | Michelle Giumenta | Dentist | 2530 Amboy Rd, Staten Island, NY 10306-2220 | 2006-04-07 |
| 1316935505 | Deborah Gries | Dentist | 195 Bridgetown St, Staten Island, NY 10314-6006 | 2005-10-11 |
| 1952756892 | Allison Paige Blutstein | Dentist | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2016-04-28 |
| 1487009742 | Lisa Nicole Schneider | Dentist | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2016-04-24 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on SWEET TOOTH PEDIATRIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.