Laser Dentistry For Children LLC
Dentist, Pediatric Dentistry in Wyckoff, New Jersey
1255066775- Practice location
- 260 Godwin Ave Ste 2, Wyckoff, NJ 07481-2099
- Phone
- 201-848-5000
- Fax
- 201-848-5100
- Last updated
- October 27, 2026
Laser Dentistry For Children LLC is a healthcare organization based in Wyckoff, NJ. Laser Dentistry For Children LLC practices in Wyckoff, NJ. The NPI Number for Laser Dentistry For Children LLC is 1255066775. The current practice location address for Laser Dentistry For Children LLC is 260 Godwin Ave Ste 2, Wyckoff, NJ 07481-2099 and can be reached out via phone at 201-848-5000 and via fax at 201-848-5100.
Provider Profile Details
- NPI Number
- 1255066775
- Provider Name
- Laser Dentistry For Children LLC
- Provider Entity Type
- Organization
- Address
- 260 Godwin Ave Ste 2, Wyckoff, NJ 07481-2099
- Phone Number
- 201-848-5000
- Fax Number
- 201-848-5100
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- Yes
- Parent Organization
- Laser Dentistry For Children
- Authorized Official
- Dr. Barry L Jacobson, DMD · Sole Member · 845-369-3703
- Other Names
- Pediatric Dentistry Of Wyckoff (Doing Business As)
- Provider Enumeration Date
- July 19, 2022
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Godwin Ave Ste 2
Wyckoff, NJ 07481-2099 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-2099
- Phone Number
- 201-848-5000
- Fax Number
- 201-848-5100
Provider Business Mailing Address Details
- Address
- 29 N Airmont RD Ste 202
Suffern, NY 10901-4221 - City
- Suffern
- State
- NY
- Zip
- 10901-4221
- Phone Number
- 845-369-3703
- Fax Number
- 845-369-3183
License Information
- Taxonomy (1)
- Dentist, Dentist Anesthesiologist Speciality · 1223D0004X
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- Taxonomy (4)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (5)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Laser Dentistry For Children LLC?
The NPI number of Laser Dentistry For Children LLC is 1255066775. It was assigned on July 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Laser Dentistry For Children LLC?
Laser Dentistry For Children LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).
Where does Laser Dentistry For Children LLC practice?
The practice location is 260 Godwin Ave Ste 2, Wyckoff, NJ 07481-2099. The office can be reached at 201-848-5000 (phone) or 201-848-5100 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255066775 directly on the NPPES registry website.