Active NPIIndividual provider

Dr. Rebecca S Jackson, DDS

Dentist, General Practice in Chatham, New Jersey

NPI Number1427360536
Practice location
291 Main St, Chatham, NJ 07928-2442
Fax
973-635-9087
Last updated
January 27, 2025

Rebecca Suzanne Jackson is a Dentist, General Practice based in Chatham, NJ. Rebecca Suzanne Jackson practices in Chatham, NJ and has the professional credentials of DDS. The NPI Number for Rebecca Suzanne Jackson is 1427360536 and holds a License No. 22DIO2469800 (NJ). The current practice location address for Rebecca Suzanne Jackson is 291 Main St, Chatham, NJ 07928-2442 and can be reached out via phone at 973-635-9091 and via fax at 973-635-9087.

Provider Profile Details

NPI Number
1427360536
Provider Name
Rebecca Suzanne Jackson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
291 Main St, Chatham, NJ 07928-2442
Phone Number
973-635-9091
Fax Number
973-635-9087
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 6, 2010
Last Update Date
January 27, 2025
Certification Date
January 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
291 Main St
Chatham, NJ 07928-2442
Zip
07928-2442
Phone Number
973-635-9091
Fax Number
973-635-9087
Chatham, NJ 07928Get directions →

Provider Business Mailing Address Details

Address
291 Main St
Chatham, NJ 07928-2442
City
Chatham
State
NJ
Zip
07928-2442
Phone Number
973-635-9091

License Information

License State (1)
NY
License Number (2)
22DIO2469800
License State (2)
NJ
Taxonomy (2)
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. Rebecca S Jackson, DDS?

The NPI number of Dr. Rebecca S Jackson, DDS is 1427360536. It was assigned on July 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Rebecca S Jackson, DDS?

Dr. Rebecca S Jackson, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DIO2469800.

Where does Dr. Rebecca S Jackson, DDS practice?

The practice location is 291 Main St, Chatham, NJ 07928-2442. The office can be reached at 973-635-9091 (phone) or 973-635-9087 (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 1427360536 directly on the NPPES registry website.

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