MEDICARE: DENTAL ASSOCIATES FOR KIDS ONLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1639025380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL ASSOCIATES FOR KIDS ONLY

Provider Business Mailing Address
First Line	:	250 S SERVICE RD STE B150
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2141
Country	:	US
Telephone Number	:	516-625-3806
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 S SERVICE RD STE B150
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2141
Country	:	US
Telephone Number	:	516-625-3806
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	SETH NEWMAN
Credential	:
Telephone Number	:	516-625-3806

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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