Dr. Lisa Ann Jedacek is a Bronx, New York based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lisa Ann Jedacek is 0401418721 for Dental Anesthesiology in Virginia. Her current practice location is 1400 Pelham Pkwy S, Bronx. Patients can reach her at 718-918-5000.
Dr. Lisa Ann Jedacek is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Lisa Ann Jedacek speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Lisa Ann Jedacek
Specialization:
Dentist
Gender:
Female
Credentials:
DMD, MPH
Accepts Medicare Assignment:
No
Practice Address:
1400 Pelham Pkwy S, Bronx, New York, 10461-1197
Phone:
718-918-5000
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 are as mentioned below.
NPI Number:
1528650710
NPI Enumeration Date:
09 Feb, 2021
NPI Last Update On:
09 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Ann Jedacek are as mentioned below.
License Number
Specialization
State
Status
0401418721
Dental Anesthesiology
Virginia
Primary
22DI03015700
Dentistry
New Jersey
Secondary
0401418721
Dentistry
Virginia
Secondary
DN10000315
Dental Anesthesiology
Massachusetts
Secondary
2901602093
Dental Anesthesiology
Michigan
Secondary
DN10000315
Dentistry
Massachusetts
Secondary
2901602093
Dentistry
Michigan
Secondary
30.027607
Dentistry
Ohio
Secondary
30.027607
Dental Anesthesiology
Ohio
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1817 Mayflower Ave, Bronx, New York
Zip:
10461-4103
Phone Number:
440-665-3973
Patients can reach Dr. Lisa Ann Jedacek at 1400 Pelham Pkwy S, Bronx, New York or can call to book an appointment on 718-918-5000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.