LASER DENTISTRY FOR CHILDREN LLC NPI 1386379816

NPI Information

NPI: 1386379816
Provider Name: LASER DENTISTRY FOR CHILDREN LLC

Doing Business As: PEDIATRIC DENTISTRY OF VALLEY STREAM

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
509 W MERRICK RD STE 103
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 599-1701
Get Directions

LASER DENTISTRY FOR CHILDREN LLC is a pediatric dentistry dentist in Valley Stream, NY. The provider is 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. LASER DENTISTRY FOR CHILDREN LLC NPI is 1386379816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Dentistry Of Valley Stream.

The provider's business location address is:

509 W MERRICK RD STE 103
VALLEY STREAM, NY
ZIP 11580-252
Phone: (516) 599-1701
Fax: (516) 599-1526

The provider's authorized official is Barry L Jacobson .
The authorized official title is Owner and has the following contact phone number (845) 369-3703.

The enumeration date for this NPI number is 7/19/2022 and was last updated on 7/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	No
2	1223D0004X	Dentist	Dentist Anesthesiologist	No
3	1223G0001X	Dentist	General Practice	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
5	1223P0221X	Dentist	Pediatric Dentistry	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »