Pediatric Dentistry of Kingston PLLC
NPI 1053651554 · Pediatric Dentistry · Kingston, NY
Pediatric Dentistry of Kingston PLLC is a Pediatric Dentistry organization in Kingston, NY (NPI 1053651554).
Provider details
- NPI number
- 1053651554
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Barry Jacobson, Owner(845) 369-3703
Specialties & taxonomies
Dental Providers
- Dental Anesthesiology1223D0004X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pediatric Dentistry of Kingston
Registry dates
- Enumerated
- 2013-02-20
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Frequently asked questions
- What is Pediatric Dentistry of Kingston PLLC's NPI number?
- Pediatric Dentistry of Kingston PLLC's National Provider Identifier (NPI) is 1053651554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Kingston PLLC?
- Pediatric Dentistry of Kingston PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Kingston PLLC located?
- Pediatric Dentistry of Kingston PLLC's practice location on file with NPPES is 169 Washinghton Ave, Kingston, NY 12401.
- What is Pediatric Dentistry of Kingston PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Kingston PLLC is (845) 514-2255.
- Who is the authorized official for Pediatric Dentistry of Kingston PLLC?
- The authorized official listed on Pediatric Dentistry of Kingston PLLC's NPPES record is Barry Jacobson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Kingston PLLC's NPI active?
- Yes — Pediatric Dentistry of Kingston PLLC's NPI (1053651554) is active in the NPPES registry as of the last update on 2023-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.