Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA ANN JEDACEK, DMD, MPH
ActiveDR. LISA ANN JEDACEK, DMD, MPH is a 1223D0004X healthcare provider located in BRONX, New York. NPI 1528650710 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · BRONX, NY
Registration Details
- NPI Number
- 1528650710
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2021 (5.543568815621 yrs)
- Last Updated
- Jul 9, 2024
- Licenses
-
22DI03015700 (NJ)0401418721 (VA)DN10000315 (MA)2901602093 (MI)DN10000315 (MA)
Practice Information
- Address
-
1400 PELHAM PKWY SBRONX, NY, 104611197Browse NY providers · Browse ZIP 10461
- Phone
- 7189185000
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- Dentist
- Additional Specialty
- 1223D0004X
- Additional Specialty
- 1223D0004X
- Additional Specialty
- Dentist
Other 1223D0004X Providers in BRONX, NY
| Name | Credential | NPI |
|---|---|---|
| DR. DHVANIT PATEL | DDS | 1992968598 |
| DR. JOSE ANTONIO RIVERO SUTIL | DMD | 1417212937 |
| NARESSA K SINGH | — | 1114318862 |
| MARGI CHAN | DMD | 1639533102 |
| DR. NAFIZ HASAN | DDS | 1104487529 |
| DREW SCHIMPF | — | 1457942765 |
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.