| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELLIOT ABRAHAM SHINE | 1548990476 | 2024-08-11 |
Elliot Abraham Shine is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548990476. Registration indicates Elliot Abraham Shine is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, ) Access to Dental Specialists (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, ) Access to Dental Specialists (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Elliot Abraham Shine DDS |
| Practice Office Address | 25 S OYSTER BAY RD SYOSSET, NY US |
| Practice Office Telephone | 5163655439 |
| Mailing Address | 16 MARTIN CT GREAT NECK, NY 110241620 US |
| Business Telephone | 5166950103 |
| Code | Practice | License No State |
|---|---|---|
| 1223P0221X | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | 22DI02998400
NJ |
| 1223P0221X | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | 27287
FL |
| 1223P0221X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | 064060
NY |
| 13-3971298 | OTHER | NY | EMPLOYEE IDENTI |