State Street Smiles
Advanced Practice Dental Therapist in Hackensack, New Jersey
1073060612- Practice location
- 405 Main Street, Hackensack, NJ 07601
- Phone
- 201-487-7030
- Fax
- —
- Last updated
- September 1, 2016
State Street Smiles is a healthcare organization based in Hackensack, NJ. State Street Smiles practices in Hackensack, NJ. The NPI Number for State Street Smiles is 1073060612. The current practice location address for State Street Smiles is 405 Main Street, Hackensack, NJ 07601 and can be reached out via phone at 201-487-7030.
Provider Profile Details
- NPI Number
- 1073060612
- Provider Name
- State Street Smiles
- Provider Entity Type
- Organization
- Address
- 405 Main Street, Hackensack, NJ 07601
- Phone Number
- 201-487-7030
- Primary Taxonomy
- Advanced Practice Dental Therapist · 125K00000X
- Organization Subpart
- Yes
- Parent Organization
- State Street Smiles
- Authorized Official
- Dr. Edward Jackson · Doctor · 201-487-7030
- Provider Enumeration Date
- September 1, 2016
- Last Update Date
- September 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 405 Main Street
Hackensack, NJ 07601 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601
- Phone Number
- 201-487-7030
Provider Business Mailing Address Details
- Address
- 405 Main St
Hackensack, NJ 07601-5965 - City
- Hackensack
- State
- NJ
- Zip
- 07601-5965
- Phone Number
- 201-487-7030
License Information
- Taxonomy
- Advanced Practice Dental Therapist · 125K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of State Street Smiles?
The NPI number of State Street Smiles is 1073060612. It was assigned on September 1, 2016 and is currently active in the NPPES registry.
What is the specialty of State Street Smiles?
State Street Smiles is registered under the primary taxonomy Advanced Practice Dental Therapist (code 125K00000X).
Where does State Street Smiles practice?
The practice location is 405 Main Street, Hackensack, NJ 07601. The office can be reached at 201-487-7030 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073060612 directly on the NPPES registry website.