Active NPIIndividual providerSole proprietor

Dr. Kenneth L Jagger, DDS

Dentist, General Practice in Northfield, New Jersey

NPI Number1295947810
Practice location
1423 Tilton RD Ste 2, Northfield, NJ 08225-1857
Fax
609-646-6810
Last updated
July 8, 2007

Kenneth L Jagger is a Dentist, General Practice based in Northfield, NJ. Kenneth L Jagger practices in Northfield, NJ and has the professional credentials of DDS. The NPI Number for Kenneth L Jagger is 1295947810 and holds a License No. 22D101139300 (NJ). The current practice location address for Kenneth L Jagger is 1423 Tilton RD Ste 2, Northfield, NJ 08225-1857 and can be reached out via phone at 609-646-9100 and via fax at 609-646-6810.

Provider Profile Details

NPI Number
1295947810
Provider Name
Kenneth L Jagger
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1423 Tilton RD Ste 2, Northfield, NJ 08225-1857
Phone Number
609-646-9100
Fax Number
609-646-6810
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1423 Tilton RD Ste 2
Northfield, NJ 08225-1857
Zip
08225-1857
Phone Number
609-646-9100
Fax Number
609-646-6810
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
1423 Tilton RD Ste 2
Northfield, NJ 08225-1857
City
Northfield
State
NJ
Zip
08225-1857
Phone Number
609-646-9100
Fax Number
609-646-6810

License Information

License Number
22D101139300
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. Kenneth L Jagger, DDS?

The NPI number of Dr. Kenneth L Jagger, DDS is 1295947810. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth L Jagger, DDS?

Dr. Kenneth L Jagger, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D101139300.

Where does Dr. Kenneth L Jagger, DDS practice?

The practice location is 1423 Tilton RD Ste 2, Northfield, NJ 08225-1857. The office can be reached at 609-646-9100 (phone) or 609-646-6810 (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 1295947810 directly on the NPPES registry website.

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