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: July 19, 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
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
949 PARK AVE, New York, NY 10028

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

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366866683, enumerated as an "organization" on February 06, 2014.

The provider is located at 949 PARK AVE 1ST FLOOR NEW YORK, NY 10028 and the phone number is (212) 997-6453.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.