Dr Brandon Jackson Pediatric Dental Pllc

LBN: Dr Brandon Jackson Pediatric Dental Pllc
Dr Brandon Jackson Pediatric Dental Pllc is an health care organization with primary practice located at 821 Clove Rd , Staten Island NY 10310-2839. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Dr Brandon Jackson Pediatric Dental Pllc can be contacted via phone (718) 448-0976, or through Jackson, Brandon Joshua via phone (917) 626-3507.

Contact Information

Primary practice address
821 Clove Rd Staten Island NY 10310-2839
Phone: (718) 448-0976
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Brandon Joshua Doctor of Dental Surgery (DDS)
Phone: (917) 626-3507

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1629789722
LBN Legal business name Dr Brandon Jackson Pediatric Dental Pllc
DBA Doing business as
Authorized official Jackson, Brandon Joshua Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2022
Last updated Dec 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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