PEDIATRIC DENTISTRY OF MALONE
NPI 1821723362
Dentist - Pediatric Dentistry in Malone, NY

Q: What is North Country Pediatric Dentistry PLLC's specialty?

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

Active since July 19, 2022

447 E MAIN ST, MALONE, NY 12953(518) 483-0100(518) 483-0101 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

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About Pediatric Dentistry Of Malone NPPES

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

PEDIATRIC DENTISTRY OF MALONE (NPI 1821723362) is a healthcare organization registered as a pediatric dentistry in Malone, New York and active in the NPI registry since July 2022. The organization lists Barry L Jacobson, Owner, as its authorized official.

NPPES Registry Identity

NPI1821723362

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameNORTH COUNTRY PEDIATRIC DENTISTRY PLLC

Location Address447 E MAIN STMalone, NY 12953-2126

Mailing Address29 N Airmont Rd Ste 22Suffern, NY 10901-4242 · (845) 369-3703 · Fax (845) 369-3183

Phone(518) 483-0100

Fax(518) 483-0101

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 1821723362 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

447 E MAIN ST, Malone, NY 12953

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Other Names 1

Doing Business AsPediatric Dentistry Of Malone

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 North Country Pediatric Dentistry PLLC's NPI number?

The NPI number for North Country Pediatric Dentistry PLLC is 1821723362. It was assigned to this organization in the NPPES registry on July 19, 2022. The provider is doing business as Pediatric Dentistry Of Malone.

Where is North Country Pediatric Dentistry PLLC located?

North Country Pediatric Dentistry PLLC is located at 447 E Main St, Malone, NY 12953. The listed phone number is (518) 483-0100.

What is North Country Pediatric Dentistry 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 North Country Pediatric Dentistry PLLC 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.