PEDIATRIC DENTISTRY OF VALLEY STREAM – NPI #1386379816
Dentist

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.

PEDIATRIC DENTISTRY OF VALLEY STREAM is a dentist located in VALLEY STREAM, NY. NPPES has assigned the NPI number 1386379816 to PEDIATRIC DENTISTRY OF VALLEY STREAM on July 19, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC DENTISTRY OF VALLEY STREAM” is a dba name, the actual legal business name for this organization is LASER DENTISTRY FOR CHILDREN LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1223P0221X from the Health Care Provider Taxonomy code set, which is classified as Dentist, specializing in Pediatric Dentistry Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Jul 12, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC DENTISTRY OF VALLEY STREAM below.

NPI Profile for
LASER DENTISTRY FOR CHILDREN LLC

NPI Number
1386379816
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LASER DENTISTRY FOR CHILDREN LLC
Doing Business As (dba): PEDIATRIC DENTISTRY OF VALLEY STREAM
Primary location
509 W MERRICK RD STE 103
VALLEY STREAM, NY 11580-5252
Phone: (516) 599-1701 Fax: (516) 599-1526
Mailing address
29 N AIRMONT RD STE 22
SUFFERN, NY 10901-4242
Phone: (845) 369-3703 Fax: (845) 369-3183
Organization Subpart
No
Authorized Official
BARRY JACOBSON
OWNER
Phone: (845) 369-3703
Updated
Certification Date
Jul 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.