Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD MICHAEL JACKSON, DMD
Active Sole ProprietorDR. EDWARD MICHAEL JACKSON, DMD is a Pediatric Dentistry healthcare provider located in HACKENSACK, New Jersey. NPI 1477640373 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · HACKENSACK, NJ
Registration Details
- NPI Number
- 1477640373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.886208351577 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DI 21365 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 STATE STHACKENSACK, NJ, 076014421Browse NJ providers · Browse ZIP 07601
- Phone
- 2014877030
- Fax
- 2014874418
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in HACKENSACK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. DAMI KIM | DDS | 1588993893 |
| BEN LIU | D.D.S | 1104120153 |
| DR. JESSICA MICHELLE LISTWA | DMD | 1306293469 |
| NEGAR NORA TABARI | DMD | 1902395890 |
| SOOHA YANG | DDS | 1346809647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.