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DR. EDWARD MICHAEL JACKSON DMD
NPI 1477640373
Dentist - Pediatric Dentistry in Hackensack, NJ

Active since October 10, 2006
405 STATE ST, HACKENSACK, NJ 07601(201) 487-7030(201) 487-4418 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Michael Jackson Dmd NPPES

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

DR. EDWARD MICHAEL JACKSON DMD (NPI 1477640373) is an individual pediatric dentistry provider in Hackensack, New Jersey, licensed in New Jersey (DI 21365) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477640373
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. EDWARD MICHAEL JACKSONCredential: DMD
Location Address405 STATE STHackensack, NJ 07601-4421
Mailing Address249 Greve DrNew Milford, NJ 07646-2313 · (201) 265-8879 · Fax (201) 487-4418
Phone(201) 487-7030
Fax(201) 487-4418
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477640373 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 · DI 21365
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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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
STATE STREET SMILES PEDIATRIC DENTISTRY LLC.
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 Edward Jackson's NPI number?

The NPI number for Edward Jackson is 1477640373. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Edward Jackson located?

Edward Jackson practices at 405 State St, Hackensack, NJ 07601. The listed phone number is (201) 487-7030.

What is Edward Jackson'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 Edward Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.