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State Street Smiles Pediatric Dentistry Llc.
Pediatric Dentist in Hackensack, New Jersey
NPI 1386883668

State Street Smiles Pediatric Dentistry Llc. is a Pediatric Dentist based in Hackensack, NJ and is specialized in Pediatric Dentistry. State Street Smiles Pediatric Dentistry Llc. practices in Hackensack, NJ. The NPI Number for State Street Smiles Pediatric Dentistry Llc. is 1386883668 and holds a License No. D121365 (New Jersey).

The current practice location address for State Street Smiles Pediatric Dentistry Llc. is 405 State St, Hackensack, NJ and can be reached out via phone at 201-487-7030 and via fax at 201-487-4418.

Location: 405 State St, Hackensack, NJ, 07601-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386883668
Provider Name
State Street Smiles Pediatric Dentistry Llc.
Credential
Provider Entity Type
Organization
Address
405 State St, Hackensack, NJ, 07601-4421
Phone Number
201-487-7030
Fax Number
201-487-4418
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 State St
City
Hackensack
State
New Jersey
Zip
07601-4421
Phone Number
201-487-7030
Fax Number
201-487-4418
person
Provider Business Mailing Address Details
Address
405 State St
City
Hackensack
State
New Jersey
Zip
07601-4421
Phone Number
201-487-7030
Fax Number
201-487-4418
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D121365 (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.
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