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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.