location
search-icon
person
Dr. Jessica Michelle Listwa, DMD
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1306293469

Jessica Michelle Listwa is a Student in an Organized Health Care Education/Training Program based in East Brunswick, NJ. Jessica Michelle Listwa practices in Hackensack, NJ and has the professional credentials of DMD. The NPI Number for Jessica Michelle Listwa is 1306293469 and holds a License No. 22D102721100 (New Jersey).

The current practice location address for Jessica Michelle Listwa is 645 Main St, Hackensack, NJ and can be reached out via phone at 201-488-5953.

Location: 645 Main St, Hackensack, NJ, 08816-3225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306293469
Provider Name
Jessica Michelle Listwa
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
645 Main St, Hackensack, NJ, 08816-3225
Phone Number
201-488-5953
Fax Number
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
645 Main St
City
Hackensack
State
New Jersey
Zip
07601
Phone Number
201-488-5953
Fax Number
person
Provider Business Mailing Address Details
Address
645 Main St
City
Hackensack
State
New Jersey
Zip
07601
Phone Number
201-488-5953
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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.
22D102721100 (New Jersey)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.