PEDIATRIC DENTISTRY OF WYCKOFF
NPI 1255066775
Dentist - Pediatric Dentistry in Wyckoff, NJ

Active since July 19, 2022
260 GODWIN AVE STE 2, WYCKOFF, NJ 07481(201) 848-5000(201) 848-5100 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Pediatric Dentistry Of Wyckoff NPPES

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

PEDIATRIC DENTISTRY OF WYCKOFF (NPI 1255066775) is a healthcare organization registered as a pediatric dentistry in Wyckoff, New Jersey and active in the NPI registry since July 2022. The organization lists Barry L Jacobson, Owner, as its authorized official.

NPPES Registry Identity

NPI1255066775
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLASER DENTISTRY FOR CHILDREN
Location Address260 GODWIN AVE STE 2Wyckoff, NJ 07481-2099
Mailing Address29 N Airmont Rd Ste 22Suffern, NY 10901-4242 · (845) 369-3703 · Fax (845) 369-3183
Fax(201) 848-5100
Organization SubpartNo
Authorized OfficialBarry L JacobsonOwner · (845) 369-3703
Enumeration DateJuly 19, 2022
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1255066775 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
260 GODWIN AVE STE 2, Wyckoff, NJ 07481

Other Names 1

Doing Business AsPediatric Dentistry Of Wyckoff

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.

Dentist (Pediatric Dentistry)
260 GODWIN AVE STE 2
WYCKOFF, NJ 07481

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 Laser Dentistry For Children's NPI number?

The NPI number for Laser Dentistry For Children is 1255066775. It was assigned to this organization in the NPPES registry on July 19, 2022. The provider is doing business as Pediatric Dentistry Of Wyckoff.

Where is Laser Dentistry For Children located?

Laser Dentistry For Children is located at 260 Godwin Ave Ste 2, Wyckoff, NJ 07481. The listed phone number is (201) 848-5000.

What is Laser Dentistry For Children'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 Laser Dentistry For Children 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.