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Dr. Barry L. Jacobson, DMD
Pediatric Dentist in Flushing, New York
NPI 1538279625

Barry L. Jacobson is a Pediatric Dentist based in Suffern, NY and is specialized in Pediatric Dentistry. Barry L. Jacobson practices in Flushing, NY and has the professional credentials of DMD. The NPI Number for Barry L. Jacobson is 1538279625 and holds a License No. 045485 (New York).

The current practice location address for Barry L. Jacobson is 135-14 Jewel Ave, Flushing, NY and can be reached out via phone at 718-997-6453 and via fax at 718-793-8956.

Location: 135-14 Jewel Ave, Flushing, NY, 10901-4242
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Provider Profile Details
NPI Number
1538279625
Provider Name
Barry L. Jacobson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
135-14 Jewel Ave, Flushing, NY, 10901-4242
Phone Number
718-997-6453
Fax Number
718-793-8956
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01649187 05 NY
institution
Provider Business Practice Location Address Details
Address
135-14 Jewel Ave
City
State
Zip
11367
Phone Number
718-997-6453
Fax Number
718-793-8956
person
Provider Business Mailing Address Details
Address
135-14 Jewel Ave
City
State
Zip
11367
Phone Number
718-997-6453
Fax Number
718-793-8956
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
045485 (New York)
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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