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PEDIATRIC DENTISTRY OF ALBANY, PLLC
NPI 1174202329
Dentist - Pediatric Dentistry in Schenectady, NY

Active since July 14, 2023
624 MCCLELLAN ST STE G01, SCHENECTADY, NY 12304(518) 512-3072(518) 621-7286 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dentistry Of Albany, Pllc NPPES

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

PEDIATRIC DENTISTRY OF ALBANY, PLLC (NPI 1174202329), doing business as Dental Surgery Suite Of Schenectady, is a healthcare organization registered as a pediatric dentistry in Schenectady, New York and active in the NPI registry since July 2023. The organization lists Barry L Jacobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174202329
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF ALBANY, PLLC
Location Address624 MCCLELLAN ST STE G01Schenectady, NY 12304-1024
Mailing Address29 N Airmont Rd Ste 22Suffern, NY 10901-4242 · (845) 369-3703 · Fax (845) 369-3183
Phone(518) 512-3072
Fax(518) 621-7286
Organization SubpartYes
Authorized OfficialBarry L JacobsonCeo · (845) 369-3703
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1174202329 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
624 MCCLELLAN ST STE G01, Schenectady, NY 12304
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Other Names 1

Doing Business AsDental Surgery Suite Of Schenectady

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

Other Providers at the Same Location NPPES

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

ANDREW KOVALOVICH
Audiologist
624 MCCLELLAN ST STE G01
SCHENECTADY, NY 12304
Schenectady County (518) 347-5655

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 Albany, PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Albany, PLLC is 1174202329. It was assigned to this organization in the NPPES registry on July 14, 2023. The provider is doing business as Dental Surgery Suite of Schenectady.

Where is Pediatric Dentistry Of Albany, PLLC located?

Pediatric Dentistry Of Albany, PLLC is located at 624 Mcclellan St Ste G01, Schenectady, NY 12304. The listed phone number is (518) 512-3072.

What is Pediatric Dentistry Of Albany, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Albany, PLLC was last updated on July 14, 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.