Organization · Type 2 NPI

Laser Dentistry for Children LLC

Pediatric Dentistry · Valley Stream, NY

NPI number 1386379816 Active

Practice location

509 W Merrick Rd Ste 103
Valley Stream, NY 11580-5252

Call (516) 599-1701 Map

Fax (516) 599-1526

Mailing address

29 N Airmont Rd Ste 22
Suffern, NY 10901-4242

Specialties and licenses

Taxonomy	Code	License
Dental Anesthesiology	1223D0004X	None listed
General Practice Dentistry	1223G0001X	None listed
Pediatric Dentistry Primary	1223P0221X	None listed
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	None listed

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

Neda EghbaliPediatric Dentistry Valley Stream, NY NPI 1326544784

NPI record

NPI: 1386379816
Entity type: Organization (Type 2)
Issued: Jul 19, 2022
Last updated: Jul 12, 2023
Status: Active

Other names

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Pediatric Dentistry of Valley Stream · doing business as
Pediatric Dentistry of Valley Stream · doing business as

Authorized official

Barry L Jacobson, DMD
Owner
(845) 369-3703

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386379816

Laser Dentistry for Children LLC's National Provider Identifier is 1386379816, issued on Jul 19, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Valley Stream, NY. The record was last updated on Jul 12, 2023.