Active NPIIndividual provider

Dr. Marie M Jackson, DMD

Dentist, General Practice in Lafayette, New Jersey

NPI Number1093040701
Practice location
50 Route 15, Lafayette, NJ 07848
Fax
973-579-7865
Last updated
October 14, 2009

Marie M. Jackson is a Dentist, General Practice based in Lafayette, NJ. Marie M. Jackson practices in Lafayette, NJ and has the professional credentials of DMD. The NPI Number for Marie M. Jackson is 1093040701 and holds a License No. 22DI02414700 (NJ). The current practice location address for Marie M. Jackson is 50 Route 15, Lafayette, NJ 07848 and can be reached out via phone at 973-579-7888 and via fax at 973-579-7865.

Provider Profile Details

NPI Number
1093040701
Provider Name
Marie M. Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
50 Route 15, Lafayette, NJ 07848
Phone Number
973-579-7888
Fax Number
973-579-7865
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2009
Last Update Date
October 14, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Route 15
Lafayette, NJ 07848
Zip
07848
Phone Number
973-579-7888
Fax Number
973-579-7865
Lafayette, NJ 07848Get directions →

Provider Business Mailing Address Details

Address
Fifty Route Fifteen North
Lafayette, NJ 07848
City
Lafayette
State
NJ
Zip
07848
Phone Number
973-579-7888
Fax Number
973-579-7865

License Information

License Number
22DI02414700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Marie M Jackson, DMD?

The NPI number of Dr. Marie M Jackson, DMD is 1093040701. It was assigned on October 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Marie M Jackson, DMD?

Dr. Marie M Jackson, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02414700.

Where does Dr. Marie M Jackson, DMD practice?

The practice location is 50 Route 15, Lafayette, NJ 07848. The office can be reached at 973-579-7888 (phone) or 973-579-7865 (fax).

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 1093040701 directly on the NPPES registry website.

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