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

Pediatric Dentistry of Kingston PLLC

Organization Dental Anesthesiology · NPI 1053651554

Pediatric Dentistry of Kingston PLLC is a Dental Anesthesiology in Kingston, New York. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

169 Washinghton Ave
Kingston, NY 12401
Phone: (845) 514-2255
Fax: (845) 514-2292
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 number1053651554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Jacobson — Owner · (845) 369-3703
Other names Pediatric Dentistry Of Kingston
NPI enumeratedFebruary 20, 2013
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address29 N Airmont Rd Ste 22, Suffern, NY 10901-4242