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PEDIATRIC DENTISTRY OF KINGSTON
NPI 1053651554
Dentist - Pediatric Dentistry in Kingston, NY

Active since February 20, 2013
169 WASHINGHTON AVE, KINGSTON, NY 12401(845) 514-2255(845) 514-2292 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Pediatric Dentistry Of Kingston NPPES

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

PEDIATRIC DENTISTRY OF KINGSTON (NPI 1053651554) is a healthcare organization registered as a pediatric dentistry in Kingston, New York and active in the NPI registry since February 2013. The organization lists Barry L Jacobson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053651554
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF KINGSTON PLLC
Location Address169 WASHINGHTON AVEKingston, NY 12401
Mailing Address29 N Airmont Rd Ste 22Suffern, NY 10901-4242 · (845) 369-3703 · Fax (845) 369-3183
Phone(845) 514-2255
Fax(845) 514-2292
Organization SubpartNo
Authorized OfficialBarry L JacobsonOwner · (845) 369-3703
Enumeration DateFebruary 20, 2013
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1053651554 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
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
169 WASHINGHTON AVE, Kingston, NY 12401
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Other Names 1

Doing Business AsPediatric Dentistry Of Kingston

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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Pediatric Dentistry Of Kingston PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Kingston PLLC is 1053651554. It was assigned to this organization in the NPPES registry on February 20, 2013. The provider is doing business as Pediatric Dentistry Of Kingston.

Where is Pediatric Dentistry Of Kingston PLLC located?

Pediatric Dentistry Of Kingston PLLC is located at 169 Washinghton Ave, Kingston, NY 12401. The listed phone number is (845) 514-2255.

What is Pediatric Dentistry Of Kingston PLLC's specialty?

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

What insurance does Pediatric Dentistry Of Kingston PLLC accept?

Health plans from UnitedHealthcare list Pediatric Dentistry Of Kingston 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 Pediatric Dentistry Of Kingston 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.