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Dr. Edward Michael Jackson, DMD
Pediatric Dentist in Hackensack, New Jersey
NPI 1477640373

Edward Michael Jackson is a Pediatric Dentist based in New Milford, NJ and is specialized in Pediatric Dentistry. Edward Michael Jackson practices in Hackensack, NJ and has the professional credentials of DMD. The NPI Number for Edward Michael Jackson is 1477640373 and holds a License No. DI 21365 (New Jersey).

The current practice location address for Edward Michael Jackson 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, 07646-2313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477640373
Provider Name
Edward Michael Jackson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
405 State St, Hackensack, NJ, 07646-2313
Phone Number
201-487-7030
Fax Number
201-487-4418
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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.
DI 21365 (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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