Provider Demographics
NPI:1750038337
Name:SMALLBERG & SATORNINO DDS PLLC
Entity Type:Organization
Organization Name:SMALLBERG & SATORNINO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-997-3636
Mailing Address - Street 1:330 WINTHROP ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3388
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 WINTHROP ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3388
Practice Address - Country:US
Practice Address - Phone:516-997-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty