Healthcare Provider Details

I. General information

NPI: 1407793672
Provider Name (Legal Business Name): AM PEDIATRIC DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 OSBORN AVE
RIVERHEAD NY
11901-3077
US

IV. Provider business mailing address

615 MONTAUK HWY
WEST ISLIP NY
11795-4408
US

V. Phone/Fax

Practice location:
  • Phone: 631-771-7337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM POSTEL
Title or Position: PARTNER
Credential: DMD
Phone: 631-661-7337