Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Dentistry of Kingston Pllc

Pediatric Dentistry in Kingston, NY · enumerated 2013 · authorized official Barry Jacobson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053651554

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Dentistry of Kingston Pllc

Other name <Unavail>

Practice address 169 Washinghton Ave, Kingston, NY, 12401

Phone (845) 514-2255

Fax (845) 514-2292

Enumeration date Feb 20, 2013

Last updated in NPPES Jul 12, 2023

Taxonomy & classification

1223D0004X Dental Anesthesiology Dental Providers Secondary

1223G0001X General Practice Dentistry Dental Providers Secondary

1223P0221X Pediatric Dentistry Dental Providers Primary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Secondary

Authorized official

Name Barry Jacobson

Title Owner

Phone (845) 369-3703

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Pediatric Dentistry of Kingston Pllc located?

The practice location on file with NPPES is in Kingston, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-07-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-12.