Organization · Type 2 NPI

DR Brandon Jackson Pediatric Dental PLLC

Pediatric Dentistry · Staten Island, NY

NPI number 1629789722 Active

Practice location

821 Clove Rd
Staten Island, NY 10310-2839

Call (718) 448-0976 Map

Mailing address

70 Virginia Ave
Staten Island, NY 10305-1748

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone 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.

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About NPI 1629789722

DR Brandon Jackson Pediatric Dental PLLC's National Provider Identifier is 1629789722, issued on Dec 9, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Staten Island, NY. The record was last updated on Dec 9, 2022.