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

Pediatric Dentistry on Park PLLC

Organization Dental Anesthesiology · NPI 1366866683

Pediatric Dentistry on Park PLLC is a Dental Anesthesiology in New York, 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

949 Park Ave 1st Fl
New York, NY 10028-0315
Phone: (212) 997-6453
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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 number1366866683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Jacobson — Owner · (212) 997-6453
NPI enumeratedFebruary 6, 2014
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address949 Park Ave, 1st Floor, New York, NY 10028-0315

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