Search › New Jersey › 1223P0221X
Edward Jackson, DMD
NPI 1477640373 · on the registry since 2006 · sole proprietor
Practice
- Address
- 405 State St
Hackensack, NJ 07601 - Phone
- (201) 487-7030
- Fax
- (201) 487-4418
- Organisation at this address
- State Street Smiles Pediatric Dentistry Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey