Jackson Pediatric Dentistry Pc is a Pediatric Dental Clinic in Jackson, New Jersey. It is located at 2064 W County Line Rd, Jackson, NJ and its contact number is 732-637-9805. The authorized person for Jackson Pediatric Dentistry Pc is Dr. Jacqueline Mikhly
who is Owner of the clinic and their contact number is 917-974-8445. The primary license number for Jackson Pediatric Dentistry Pc is 22DI02529300 (Pediatric Dentistry) in New Jersey.
Jackson Pediatric Dentistry Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jackson Pediatric Dentistry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jackson Pediatric Dentistry Pc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 2064 W County Line Rd, Jackson,
New Jersey, 08527-2014 |
| Phone: | 732-637-9805 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jacqueline Mikhly |
| Position: | Owner |
| Contact Number: | 917-974-8445 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jackson Pediatric Dentistry Pc clinic are as mentioned below.
| NPI Number: | 1588158539 |
| NPI Enumeration Date: | 21 Jun, 2018 |
| NPI Last Update On: | 21 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Pediatric Dentistry Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 22DI02529300 | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 22DI02529300 | Other | New Jersey | Dental License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jackson Pediatric Dentistry Pc
2064 W County Line Rd,
Jackson, New Jersey |
| Zip: | 08527-2014 |
| Phone Number: | 732-637-9805 |
Patients can reach Jackson Pediatric Dentistry Pc at
2064 W County Line Rd, Jackson, New Jersey or can
call to book an appointment on 732-637-9805.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.