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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEDIATRIC DENTISTRY OF ALBANY, PLLC
NPI 1457039190
Dentist - Pediatric Dentistry in Schenectady, NY

Active since July 11, 2023
624 MCCLELLAN ST STE G03, SCHENECTADY, NY 12304(518) 512-3072(518) 621-7286 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Jul 18, 2023, Jul 11, 2023 (3 updates tracked since 2023).

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 1457039190), doing business as Pediatric Dentistry 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, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457039190
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF ALBANY, PLLC
Location Address624 MCCLELLAN ST STE G03Schenectady, NY 12304-1020
Mailing Address29 N Airmont Rd Ste 202Suffern, NY 10901-4221 · (845) 369-3703 · Fax (845) 369-3183
Phone(518) 512-3072
Fax(518) 621-7286
Organization SubpartYes
Authorized OfficialBarry L JacobsonSole Member · (845) 369-3703
Enumeration DateJuly 11, 2023
Last NPPES UpdateOctober 26, 20263 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1457039190 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 G03, Schenectady, NY 12304
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Other Names 1

Doing Business AsPediatric Dentistry 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

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 1457039190. It was assigned to this organization in the NPPES registry on July 11, 2023. The provider is doing business as Pediatric Dentistry of Schenectady.

Where is Pediatric Dentistry Of Albany, PLLC located?

Pediatric Dentistry Of Albany, PLLC is located at 624 Mcclellan St Ste G03, 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 October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.