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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC
NPI 1710552278
Clinic/Center - Ambulatory Surgical in Jackson, NJ

Active since May 26, 2021
27 S COOKS BRIDGE RD STE 2-3, JACKSON, NJ 08527(732) 928-1099(732) 833-1690 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Aug 24, 2022, May 26, 2021 (3 updates tracked since 2021).

About Children's Dental Surgery Center Of Jackson Llc NPPES

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

CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC (NPI 1710552278), doing business as Children's Dental Surgery Of Jackson, is a healthcare organization registered as an ambulatory surgical in Jackson, New Jersey and active in the NPI registry since May 2021. The organization lists Sharon Edmondson, Director, as its authorized official.

NPPES Registry Identity

NPI1710552278
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC
Location Address27 S COOKS BRIDGE RD STE 2-3Jackson, NJ 08527-2462
Mailing Address1801 W End Ave Ste 530Nashville, TN 37203-2515
Phone(732) 928-1099
Fax(732) 833-1690
Organization SubpartNo
Authorized OfficialSharon EdmondsonDirector · (629) 666-8612
Enumeration DateMay 26, 2021
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1710552278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
27 S COOKS BRIDGE RD STE 2-3, Jackson, NJ 08527
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Other Names 1

Doing Business AsChildren's Dental Surgery Of Jackson

Other Identifiers 1

Medicaid0862878NJ

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.

MARISSA WINTERS RDN
Dietitian, Registered
27 S COOKS BRIDGE RD STE 2-3
JACKSON, NJ 08527
Ocean County (732) 994-7855
MARY K BRIGHTON MS, RDN
Dietitian, Registered
27 S COOKS BRIDGE RD STE 2-3
JACKSON, NJ 08527
Ocean County (732) 994-7855
JERSEY SHORE MONMOUTH FAMILY MEDICINE GROUP PC
Non-Pharmacy Dispensing Site
27 S COOKS BRIDGE RD STE 2-3
JACKSON, NJ 08527
Ocean County (732) 987-5545

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 Children's Dental Surgery Center Of Jackson LLC's NPI number?

The NPI number for Children's Dental Surgery Center Of Jackson LLC is 1710552278. It was assigned to this organization in the NPPES registry on May 26, 2021. The provider is doing business as Children's Dental Surgery of Jackson.

Where is Children's Dental Surgery Center Of Jackson LLC located?

Children's Dental Surgery Center Of Jackson LLC is located at 27 S Cooks Bridge Rd Ste 2-3, Jackson, NJ 08527. The listed phone number is (732) 928-1099.

What is Children's Dental Surgery Center Of Jackson LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Children's Dental Surgery Center Of Jackson LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.