Individual provider · Type 1 NPI
Jamila Balooch, DDS
Pediatric Dentistry · Albany, NY
NPI number
1386132959
Active
Practice location
652 Albany Shaker Rd
Albany, NY 12211
Mailing address
88 Broad St
Glens Falls, NY 12801-4385
Other practice locations
- 100 Nicolls Rd Rm Rockland, Stony Brook, NY 11794-0001 · (631) 632-3181
- 111 N Park Ave, Rockville Centre, NY 11570-4105 · (516) 678-7422
- 88 Broad St, Glens Falls, NY 12801-4385 · (518) 798-9966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 061214 (NY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Albany
About NPI 1386132959
Jamila Balooch, DDS's National Provider Identifier is 1386132959, issued on Apr 28, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Albany, NY. The record was last updated on May 4, 2022.