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PEDIATRIC DENTISTRY ON PARK PLLC
NPI 1366866683
Dentist - Pediatric Dentistry in New York, NY

Active since February 06, 2014
949 PARK AVE, 1ST FLOOR, NEW YORK, NY 10028(212) 997-6453 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2023, Aug 29, 2022 (2 updates tracked since 2022).

About Pediatric Dentistry On Park Pllc NPPES

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

PEDIATRIC DENTISTRY ON PARK PLLC (NPI 1366866683) is a healthcare organization registered as a pediatric dentistry in New York, New York and active in the NPI registry since February 2014. The organization lists Barry L Jacobson, Owner, as its authorized official.

NPPES Registry Identity

NPI1366866683
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY ON PARK PLLC
Location Address949 PARK AVE, 1ST FLOORNew York, NY 10028-0315
Mailing Address949 Park Ave, 1st FloorNew York, NY 10028-0315 · (212) 997-6453
Phone(212) 997-6453
Organization SubpartNo
Authorized OfficialBarry L JacobsonOwner · (212) 997-6453
Enumeration DateFebruary 6, 2014
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1366866683 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
949 PARK AVE, New York, NY 10028
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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 On Park PLLC's NPI number?

The NPI number for Pediatric Dentistry On Park PLLC is 1366866683. It was assigned to this organization in the NPPES registry on February 6, 2014.

Where is Pediatric Dentistry On Park PLLC located?

Pediatric Dentistry On Park PLLC is located at 949 Park Ave 1st Floor, New York, NY 10028. The listed phone number is (212) 997-6453.

What is Pediatric Dentistry On Park 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 On Park PLLC accept?

Health plans from UnitedHealthcare list Pediatric Dentistry On Park 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 On Park PLLC was last updated on July 13, 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.