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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.