Dr Brandon Jackson Pediatric Dental Pllc - Dental Clinic in Staten Island, NY

Dr Brandon Jackson Pediatric Dental Pllc is a dental clinic (Dentist - Pediatric Dentistry) in Staten Island, New York. The current practice location for Dr Brandon Jackson Pediatric Dental Pllc is 821 Clove Rd, Staten Island, New York. For appointments, you can reach them via phone at (718) 448-0976. The mailing address for Dr Brandon Jackson Pediatric Dental Pllc is 70 Virginia Ave, Staten Island, New York and phone number is (917) 626-3507.

Dr Brandon Jackson Pediatric Dental Pllc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1629789722. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 448-0976.

Contact Information

Dr Brandon Jackson Pediatric Dental Pllc
821 Clove Rd
Staten Island
NY 10310-2839
(718) 448-0976
Not Available

Dental Care Clinic Profile

Full NameDr Brandon Jackson Pediatric Dental Pllc
SpecialityDentist - Pediatric Dentistry
Location821 Clove Rd, Staten Island, New York
Authorized Official Name and PositionBrandon Joshua Jackson (OWNER)
Authorized Official Contact9176263507
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Brandon Jackson Pediatric Dental Pllc
70 Virginia Ave
Staten Island
NY 10305-1748

Ph: (917) 626-3507
Dr Brandon Jackson Pediatric Dental Pllc
821 Clove Rd
Staten Island
NY 10310-2839

Ph: (718) 448-0976

NPI Details:

NPI Number1629789722
Provider Enumeration Date12/09/2022
Last Update Date12/09/2022

Medical Identifiers

Medical identifiers for Dr Brandon Jackson Pediatric Dental Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629789722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary

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