Bringing out the best in you and your smile

At North Country Dental Care, we believe dentistry should be comfortable while also utilizing cutting-edge tools. During each visit, you’ll be supported by a warm team and doctors who are dedicated to giving you the healthy, beautiful smile you’re looking for. Whether you’re here for a simple cleaning or a full smile transformation, we’re here to help you feel confident every step of the way.

Dr. Thomas Vigliante

Dr. Thomas Vigliante, or Dr. Tom as most patients know him, grew up right here in Saint James. His path to dentistry began with a deep fascination with medicine and supported by a long-standing commitment to caring for people.

After earning his DDS from Stony Brook University Dental School, Dr. Tom completed advanced implant training at the prestigious Pikos Institute, one of the nation’s leading centers for surgical and restorative excellence. In his cosmetic work, he incorporates fully digital workflows—partnering with renowned labs across the country to create natural, lifelike results tailored to each patient. He is an active member of the Academy of Osseointegration, the New York State Dental Association, and the Suffolk County Dental Society.

Dr. Tom is passionate about restoring both smiles and confidence. He’s especially skilled in dental implants, full-arch restorations, and cosmetic dentistry, and he’s built his practice to reflect his core belief: that exceptional dental care should be always centered around what’s best for the patient.

Outside the office, Dr. Tom enjoys spending time with his wife Christine and their three children, Gracie, May, and Henry, along with fishing, golfing, and boating around Long Island. In the practice, he’s known for his patience and compassion, taking the time to truly get to know his patients, understand their lives, and learn what matters most to them. When you visit, you’ll meet a down-to-earth doctor who listens closely, explains your options clearly, and is genuinely invested in helping you achieve your goals.

The heart of our practice

From the front desk to the operatory, our welcoming team is here to make your visit feel comfortable and enjoyable. With years of experience and a genuine commitment to patient care, we’re proud to deliver knowledgeable, gentle treatment that’s never rushed.

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Diplomate in Sleep Medicine

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Director of Business Operations

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Office Manager/ Lead Dental Assistant

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Front Desk

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Front Desk

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Dental Hygienist

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Hygienist

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Dental Assistant

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Dental Hygienist

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What to expect at your first visit

1

A warm welcome

As soon as you walk through our doors, you’ll be greeted by a friendly team who’s ready to help. We'll assist you with any intake forms, review your insurance or membership plan, and make sure you feel comfortable and informed.

2

Comprehensive exam and digital X-rays

Your dentist will perform a thorough exam using the latest digital technology, including low-radiation X-rays and 3D imaging when needed. This helps to detect issues early and create a personalized plan for your long-term oral health.

3

Gentle cleaning and honest guidance

Our hygienist will provide a gentle yet effective cleaning that’s tailored to your unique needs. We’ll then talk through your goals, fully explaining your options so that you can make an educated decision towards your treatment.

Smarter technology for more comfortable care

CBCT 3D imaging

Our in-house cone beam CT scanner gives us a detailed, 3D view of your mouth. It allows for precise planning of implants, extractions, and other procedures, all with the lowest radiation available.

Digital impressions

Say goodbye to messy, uncomfortable trays. Our digital scanner captures detailed images of your teeth in seconds, so procedures like crowns, aligners, and veneers are more comfortable and accurate.

3D printing

We use advanced 3D printing to create custom guides and models for implant surgery and restorative work. This technology helps streamline treatment, reduce turnaround times, improve precision, and make your overall experience more comfortable and efficient.

Comforts designed to help you relax

TVs in every operatory

Sit back and catch up on your favorite shows while we take care of your smile.

Noise-cancelling headphones

If you’re sensitive to sounds during treatment, noise-cancelling headphones can help you have a quiet, relaxing experience.

Ergonomic dental chairs

Our state-of-the-art chairs are designed for comfort and support, so longer appointments feel like a breeze.

Supporting our community

one smile at a time

As proud members of the Saint James and Smithtown Chambers of Commerce, as well as active supporters of the Smithtown Historical Society, North Country Dental Care is committed to giving back. We believe in building lasting relationships both inside and outside the office by sponsoring local events or partnering with organizations that support our neighbors, and we’re always looking for ways to strengthen the community that has given us so much.