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Jessica Gonzalez
Pediatric Dentist in Englewood, New Jersey
NPI 1205406360

Jessica Gonzalez is a Pediatric Dentist based in New York, NJ and is specialized in Pediatric Dentistry. Jessica Gonzalez practices in Englewood, NJ. The NPI Number for Jessica Gonzalez is 1205406360 and holds a License No. (New Jersey).

The current practice location address for Jessica Gonzalez is 180 N Dean St, Englewood, NJ and can be reached out via phone at 201-569-5437. You can also correspond with Jessica Gonzalez through the mailing address at 331 E 92ND ST APT 3B, NEW YORK, NY - 10128-5464 (mailing address contact number: 305-302-4148).

Location: 180 N Dean St, Englewood, NJ, 10128-5464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205406360
Provider Name
Jessica Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
180 N Dean St, Englewood, NJ, 10128-5464
Phone Number
201-569-5437
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
180 N Dean St
City
Englewood
State
New Jersey
Zip
07631-2534
Phone Number
201-569-5437
Fax Number
person
Provider Business Mailing Address Details
Address
180 N Dean St
City
Englewood
State
New Jersey
Zip
07631-2534
Phone Number
201-569-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02980200 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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