Provider Demographics
NPI:1033393517
Name:ESSNER & KOSINSKI, DDS, PLLC D/B/A THE SMILE STATION
Entity Type:Organization
Organization Name:ESSNER & KOSINSKI, DDS, PLLC D/B/A THE SMILE STATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-433-1422
Mailing Address - Street 1:380 N BROADWAY
Mailing Address - Street 2:SUITE L1
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2115
Mailing Address - Country:US
Mailing Address - Phone:516-433-1422
Mailing Address - Fax:
Practice Address - Street 1:380 N BROADWAY
Practice Address - Street 2:SUITE L1
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2115
Practice Address - Country:US
Practice Address - Phone:516-433-1422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty