Individual provider · Type 1 NPI

Edward Michael Jackson, DMD

Pediatric Dentistry · Hackensack, NJ

NPI number 1477640373 Active

Practice location

405 State St
Hackensack, NJ 07601-4421

Call (201) 487-7030 Map

Fax (201) 487-4418

Mailing address

249 Greve Dr
New Milford, NJ 07646-2313

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDI 21365 (NJ)

Pediatric Dentistry: 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.

3 other providers at this address

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About NPI 1477640373

Edward Michael Jackson, DMD's National Provider Identifier is 1477640373, issued on Oct 10, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 8, 2007.