STATE STREET SMILES PEDIATRIC DENTISTRY LLC. - NPI 1386883668

Q: What is State Street Smiles Pediatric Dentistry LLC.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

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About State Street Smiles Pediatric Dentistry Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE STREET SMILES PEDIATRIC DENTISTRY LLC. (NPI 1386883668) is a healthcare organization registered as a pediatric dentistry in Hackensack, New Jersey and active in the NPI registry since February 2009. The organization lists Edward M Jackson, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1386883668

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSTATE STREET SMILES PEDIATRIC DENTISTRY LLC.

Location Address405 STATE STHackensack, NJ 07601-4421

Mailing Address405 State StHackensack, NJ 07601-4421 · (201) 487-7030 · Fax (201) 487-4418

Phone(201) 487-7030

Fax(201) 487-4418

Organization SubpartNo

Authorized OfficialEdward M JacksonPediatric Dentist · (201) 487-7030

Enumeration DateFebruary 11, 2009

✔ NPI 1386883668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NJ · D121365

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.

405 STATE ST, Hackensack, NJ 07601

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MENACHEM I STAMLER DMD

Dentist (General Practice)

405 STATE ST
HACKENSACK, NJ 07601

Bergen County (201) 487-1140

DR. DINA STAMLER JACKSON D.M.D.

Dentist

405 STATE ST
HACKENSACK, NJ 07601

Bergen County (201) 487-1140

DR. EDWARD MICHAEL JACKSON DMD

Dentist (Pediatric Dentistry)

405 STATE ST
HACKENSACK, NJ 07601

Bergen County (201) 487-7030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Street Smiles Pediatric Dentistry LLC.'s NPI number?

The NPI number for State Street Smiles Pediatric Dentistry LLC. is 1386883668. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is State Street Smiles Pediatric Dentistry LLC. located?

State Street Smiles Pediatric Dentistry LLC. is located at 405 State St, Hackensack, NJ 07601. The listed phone number is (201) 487-7030.

What is State Street Smiles Pediatric Dentistry LLC.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for State Street Smiles Pediatric Dentistry LLC. was last updated on February 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.