JACKSON PEDIATRIC DENTISTRY PC NPI 1588158539

NPI Information

JACKSON PEDIATRIC DENTISTRY PC is a pediatric dentistry dentist in Jackson, 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. JACKSON PEDIATRIC DENTISTRY PC NPI is 1588158539. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2064 W COUNTY LINE RD
JACKSON, NJ
ZIP 08527-014
Phone: (732) 637-9805

The provider's authorized official is Jacqueline Mikhly .
The authorized official title is Owner and has the following contact phone number (917) 974-8445.

The enumeration date for this NPI number is 6/21/2018 and was last updated on 6/21/2018.

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:

Other Identifiers

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