NORTH COUNTRY PEDIATRIC DENTISTRY
NPI 1003232463
Dentist - Pediatric Dentistry in Plattsburgh, NY

Active since March 10, 2014
55 CORNELIA ST, PLATTSBURGH, NY 12901(518) 566-0600(518) 566-6602 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Jul 19, 2022 (2 updates tracked since 2022).

About North Country Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH COUNTRY PEDIATRIC DENTISTRY (NPI 1003232463) is a healthcare organization registered as a pediatric dentistry in Plattsburgh, New York and active in the NPI registry since March 2014. The organization lists Barry L Jacobson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003232463
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTH COUNTRY PEDIATRIC DENTISTRY PLLC
Location Address55 CORNELIA STPlattsburgh, NY 12901-1853
Mailing Address29 N Airmont Rd Ste 22Suffern, NY 10901-4242 · (845) 369-3703 · Fax (845) 369-3183
Fax(518) 566-6602
Organization SubpartNo
Authorized OfficialBarry L JacobsonOwner · (845) 369-3703
Enumeration DateMarch 10, 2014
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1003232463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
55 CORNELIA ST, Plattsburgh, NY 12901

Other Names 1

Doing Business AsNorth Country Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
55 CORNELIA ST
PLATTSBURGH, NY 12901
Dentist (Orthodontics and Dentofacial Orthopedics)
55 CORNELIA ST
PLATTSBURGH, NY 12901
Dentist (General Practice)
55 CORNELIA ST
PLATTSBURGH, NY 12901
Dentist (Pediatric Dentistry)
55 CORNELIA ST
PLATTSBURGH, NY 12901
Dentist (General Practice)
55 CORNELIA ST
PLATTSBURGH, NY 12901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Country Pediatric Dentistry PLLC's NPI number?

The NPI number for North Country Pediatric Dentistry PLLC is 1003232463. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as North Country Pediatric Dentistry.

Where is North Country Pediatric Dentistry PLLC located?

North Country Pediatric Dentistry PLLC is located at 55 Cornelia St, Plattsburgh, NY 12901. The listed phone number is (518) 566-0600.

What is North Country Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does North Country Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list North Country Pediatric Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Country Pediatric Dentistry PLLC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.