Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Country Pediatric Dentistry PLLC

Organization Dental Anesthesiology · NPI 1003232463

North Country Pediatric Dentistry PLLC is a Dental Anesthesiology in Plattsburgh, New York. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 Cornelia St
Plattsburgh, NY 12901-1853
Phone: (518) 566-0600
Fax: (518) 566-6602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dental Anesthesiology Taxonomy 1223D0004X
General Practice Dentistry Taxonomy 1223G0001X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1003232463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Jacobson — Owner · (845) 369-3703
Other names North Country Pediatric Dentistry
NPI enumeratedMarch 10, 2014
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address29 N Airmont Rd Ste 22, Suffern, NY 10901-4242

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