Individual provider · Type 1 NPI

Lisa Ann Jedacek, DMD, MPH

Dental Anesthesiology · Bronx, NY

NPI number 1528650710 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1197

Call (718) 918-5000 Map

Mailing address

1817 Mayflower Ave
Bronx, NY 10461-4103

Other practice locations

  • 1516 NJ-138, Suite #1A, Wall Township, NJ 07719 · (732) 681-5544
  • 1700 Monroe St, Endicott, NY 13760-5512 · (607) 953-4445
  • 378 Atlantic Ave, Brooklyn, NY 11217-5000 · (718) 412-5221
  • 378 Atlantic Ave, Brooklyn, NY 11217-5000 · (718) 412-5221
  • 5002 Airport Rd NW # 30, Roanoke, VA 24012-1607 · (540) 900-4782
  • 1817 Mayflower Ave, Bronx, NY 10461-4103 · (440) 665-3973
  • 11934 W Broad St Ste 120, Henrico, VA 23233-1100 · (804) 293-2662
  • 4749 S Baldwin Rd, Lake Orion, MI 48359-2114 · (248) 422-0555
  • 2165 Cunningham Dr, Hampton, VA 23666-2569 · (757) 755-8846

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X22DI03015700 (NJ)
Dentist 122300000X0401418721 (VA)
Dental Anesthesiology 1223D0004XDN10000315 (MA)
Dental Anesthesiology 1223D0004X2901602093 (MI)
Dentist 122300000XDN10000315 (MA)
Dentist 122300000X2901602093 (MI)
Dentist 122300000X30.027607 (OH)
Dental Anesthesiology 1223D0004X30.027607 (OH)
Dental Anesthesiology Primary 1223D0004X0401418721 (VA)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

1,194 other providers at this address

Other dental anesthesiology providers in Bronx

See all in Bronx →

About NPI 1528650710

Lisa Ann Jedacek, DMD, MPH's National Provider Identifier is 1528650710, issued on Feb 9, 2021. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Bronx, NY. The record was last updated on Jul 9, 2024.