OrganizationActive
Dr Brandon Jackson Pediatric Dental PLLC
NPI 1629789722 · Pediatric Dentistry · Staten Island, NY
Dr Brandon Jackson Pediatric Dental PLLC is a Pediatric Dentistry organization in Staten Island, NY (NPI 1629789722).
Provider details
- NPI number
- 1629789722
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brandon Jackson, Owner(917) 626-3507
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
821 Clove Rd
Staten Island, NY 10310-2839
Phone: (718) 448-0976
Street-level locationGet directions
Mailing address
70 Virginia Ave
Staten Island, NY 10305-1748
Other names (DBA / former)
- Doing business as
- Quality Care, Pediatric Dental Specialists
Registry dates
- Enumerated
- 2022-12-09
- Last updated
- 2022-12-09
- Certified
- 2022-12-08
Frequently asked questions
- What is Dr Brandon Jackson Pediatric Dental PLLC's NPI number?
- Dr Brandon Jackson Pediatric Dental PLLC's National Provider Identifier (NPI) is 1629789722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Brandon Jackson Pediatric Dental PLLC?
- Dr Brandon Jackson Pediatric Dental PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Dr Brandon Jackson Pediatric Dental PLLC located?
- Dr Brandon Jackson Pediatric Dental PLLC's practice location on file with NPPES is 821 Clove Rd, Staten Island, NY 10310-2839.
- What is Dr Brandon Jackson Pediatric Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dr Brandon Jackson Pediatric Dental PLLC is (718) 448-0976.
- Who is the authorized official for Dr Brandon Jackson Pediatric Dental PLLC?
- The authorized official listed on Dr Brandon Jackson Pediatric Dental PLLC's NPPES record is Brandon Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Brandon Jackson Pediatric Dental PLLC's NPI active?
- Yes — Dr Brandon Jackson Pediatric Dental PLLC's NPI (1629789722) is active in the NPPES registry as of the last update on 2022-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.