Barry L. Jacobson in Suffern - Pediatric Dentistry
Barry L. Jacobson - NPI 1538279625
Barry L. Jacobson is a Pediatric Dentistry in Suffern, New York. Barry L. Jacobson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Barry L. Jacobson is 1538279625. The last update date is 2023-01-16.
Barry L. Jacobson's current location address is 29 N Airmont Rd Ste 22, Suffern, New York. You can contact this provider via phone number 8453693703 and fax number 8453693183. The mailing address for Barry L. Jacobson is 29 N Airmont Rd Ste 22, Suffern, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry L. Jacobson |
|---|---|
| Address | 29 N Airmont Rd Ste 22, Suffern, New York |
| Phone Number | 8453693703 |
| Fax Number | 8453693183 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1538279625 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2023-01-16 |
Provider Mailing Address Detail
| Address | 29 N Airmont Rd Ste 22 |
|---|---|
| City | Suffern |
| State | New York (NY) |
| Post Code | 109014242 |
| Phone Number | 8453693703 |
| Fax Number | 8453693183 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 45485 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1649187 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Barry L. Jacobson by the Centers for Medicare & Medicaid Services (CMS)?
The Barry L. Jacobson has been assigned the NPI (National Provider Identifier) 1538279625. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Barry L. Jacobson's physical address?
The Barry L. Jacobson is physically located at 29 N Airmont Rd Ste 22, in the city of Suffern, NY, with the postal code 109014242.
What is the Barry L. Jacobson's specialty and taxonomy code?
The Barry L. Jacobson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Barry L. Jacobson receive its 1538279625 assignment from the Centers for Medicare & Medicaid Services?
The Barry L. Jacobson was assigned its 1538279625 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Barry L. Jacobson most recently updated?
The details pertaining to the Barry L. Jacobson, including its address, specialty, and other relevant information, were last refreshed on 2023-01-16.