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Dr. Rebecca Suzanne Jackson, DDS
General Practice Dentistry in Chatham, New Jersey
NPI 1427360536

Rebecca Suzanne Jackson is a General Practice Dentistry based in Staten Island, NJ and is specialized in General Practice. 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. (New Jersey).

The current practice location address for Rebecca Suzanne Jackson is 291 Main St, Chatham, NJ and can be reached out via phone at 973-635-9091 and via fax at 973-635-9087.

Location: 291 Main St, Chatham, NJ, 10305-3436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 10305-3436
Phone Number
973-635-9091
Fax Number
973-635-9087
Provider Enumeration Date
07/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
291 Main St
City
Chatham
State
New Jersey
Zip
07928-2442
Phone Number
973-635-9091
Fax Number
973-635-9087
person
Provider Business Mailing Address Details
Address
291 Main St
City
Chatham
State
New Jersey
Zip
07928-2442
Phone Number
973-635-9091
Fax Number
973-635-9087
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DIO2469800 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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.
(New York)
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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