Dr Brandon Jackson Pediatric Dental PLLC
NPI 1629789722ActiveOrganization· Dentist, Pediatric Dentistry· Staten Island, NY
Dentist, Pediatric Dentistry in Staten Island, New York, registered in NPPES in December 2022. The authorized official on file is Brandon Joshua Jackson, DDS, Owner.
Overview
| NPI | 1629789722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2022 |
| Last updated in NPPES | Dec 9, 2022 |
| Certified by provider | Dec 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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