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 1821723362

North Country Pediatric Dentistry PLLC is a Dental Anesthesiology in Malone, New York. Registered with an NPI since 2022.

In the registry since
2022
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

447 E Main St
Malone, NY 12953-2126
Phone: (518) 483-0100
Fax: (518) 483-0101
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 number1821723362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Jacobson — Owner · (845) 369-3703
Other names Pediatric Dentistry Of Malone; Pediatric Dentistry Of Malone
NPI enumeratedJuly 19, 2022
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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