Organization · Type 2 NPI

Pediatric Dentistry of Albany, PLLC

Pediatric Dentistry · Schenectady, NY

NPI number 1457039190 Active

Practice location

624 Mcclellan St Ste G03
Schenectady, NY 12304-1020

Call (518) 512-3072 Map

Fax (518) 621-7286

Mailing address

29 N Airmont Rd Ste 202
Suffern, NY 10901-4221

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.

Other pediatric dentistry providers in Schenectady

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NPI record

NPI: 1457039190
Entity type: Organization (Type 2)
Issued: Jul 11, 2023
Last updated: Oct 26, 2026
Status: Active
Subpart: Yes of Pediatric Dentistry of Albany, PLLC

Other names

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Pediatric Dentistry of Schenectady · doing business as
Pediatric Dentistry of Schenectady · doing business as

Authorized official

Dr. Barry L Jacobson, DMD
Sole Member
(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 1457039190

Pediatric Dentistry of Albany, PLLC's National Provider Identifier is 1457039190, issued on Jul 11, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Schenectady, NY. The record was last updated on Oct 26, 2026.