| Advanced Dentistry Of Jackson, Llc | |
|
2121 W County Line Rd Jackson NJ 08527-2357 | |
| (732) 363-1331 | |
| Not Available |
| Full Name | Advanced Dentistry Of Jackson, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2121 W County Line Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Jannifer Christopher (OWNER) |
| Authorized Official Contact | 7323631331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry Of Jackson, Llc 2121 W County Line Rd Jackson NJ 08527-2357 Ph: (732) 363-1331 | Advanced Dentistry Of Jackson, Llc 2121 W County Line Rd Jackson NJ 08527-2357 Ph: (732) 363-1331 |
| NPI Number | 1851310148 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851310148 | NPI | - | NPPES |
| DI21701 | Other | NJ | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI21701 (New Jersey) | Primary |
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