DR. EDWARD MICHAEL JACKSON DMD NPI 1477640373

NPI Information

NPI: 1477640373
Provider Name: DR. EDWARD MICHAEL JACKSON, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
405 STATE ST
HACKENSACK, NJ
ZIP 07601
Phone: (201) 487-7030
Get Directions

DR. Edward Michael Jackson, DMD is a pediatric dentistry dentist in Hackensack, NJ. The provider is 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. DR. Edward Michael Jackson, DMD NPI is 1477640373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

405 STATE ST
HACKENSACK, NJ
ZIP 07601-421
Phone: (201) 487-7030
Fax: (201) 487-4418

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DI 21365	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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