Pediatric Dentistry Of Kingston - Dental Clinic in Kingston, NY

Pediatric Dentistry Of Kingston is a dental clinic (Dentist - Pediatric Dentistry) in Kingston, New York. The current practice location for Pediatric Dentistry Of Kingston is 169 Washinghton Ave, Kingston, New York. For appointments, you can reach them via phone at (845) 514-2255. The mailing address for Pediatric Dentistry Of Kingston is 29 N Airmont Rd Ste 22, Suffern, New York and phone number is (845) 369-3703.

Pediatric Dentistry Of Kingston is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053651554. 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 (845) 514-2255.

Contact Information

Pediatric Dentistry Of Kingston
169 Washinghton Ave
Kingston
NY 12401
(845) 514-2255
(845) 514-2292

Dental Care Clinic Profile

Full NamePediatric Dentistry Of Kingston
SpecialityDentist - Pediatric Dentistry
Location169 Washinghton Ave, Kingston, New York
Authorized Official Name and PositionBarry L Jacobson (OWNER)
Authorized Official Contact8453693703
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pediatric Dentistry Of Kingston
29 N Airmont Rd Ste 22
Suffern
NY 10901-4242

Ph: (845) 369-3703
Pediatric Dentistry Of Kingston
169 Washinghton Ave
Kingston
NY 12401

Ph: (845) 514-2255

NPI Details:

NPI Number1053651554
Provider Enumeration Date02/20/2013
Last Update Date07/12/2023

Medical Identifiers

Medical identifiers for Pediatric Dentistry Of Kingston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053651554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223D0004XDentist - Dentist Anesthesiologist (* (Not Available))Secondary
1223G0001XDentist - General Practice (* (Not Available))Secondary
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary
1223S0112XDentist - Oral And Maxillofacial Surgery (* (Not Available))Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics (* (Not Available))Secondary

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