DR. JACQUELINE MADDOX
NPI 1497175897
Dentist in Bohemia, NY

Active since April 24, 2014
1125 SMITHTOWN AVE, BOHEMIA, NY 11716(631) 589-8585 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Maddox NPPES

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

DR. JACQUELINE MADDOX (NPI 1497175897) is an individual dentist in Bohemia, New York, licensed in New York (057987) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1497175897
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JACQUELINE MADDOX
Location Address1125 SMITHTOWN AVEBohemia, NY 11716-2160
Mailing Address11 43rd StCentereach, NY 11720-2326 · (631) 245-4107
Sole ProprietorYes
Enumeration DateApril 24, 2014
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1497175897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 057987
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1125 SMITHTOWN AVE, Bohemia, NY 11716

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1125 SMITHTOWN AVE
BOHEMIA, NY 11716
Dentist (General Practice)
1125 SMITHTOWN AVE
BOHEMIA, NY 11716

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 Jacqueline Maddox's NPI number?

The NPI number for Jacqueline Maddox is 1497175897. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Jacqueline Maddox located?

Jacqueline Maddox practices at 1125 Smithtown Ave, Bohemia, NY 11716. The listed phone number is (631) 589-8585.

What is Jacqueline Maddox's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jacqueline Maddox accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jacqueline Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Maddox was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.