DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACKSON PEDIATRIC DENTISTRY PC

MEDICARE: JACKSON PEDIATRIC DENTISTRY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry22DI02529300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122DI02529300OTHERNJDENTAL LICENSE

General Provider Information

NPI Number : 1588158539
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACKSON PEDIATRIC DENTISTRY PC
Provider Business Mailing Address
First Line : 2064 W COUNTY LINE RD
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2014
Country : US
Telephone Number : 732-637-9805
Fax Number :
Provider Business Practice Location Address
First Line : 2064 W COUNTY LINE RD
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2014
Country : US
Telephone Number : 732-637-9805
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JACQUELINE MIKHLY
Credential : DDS
Telephone Number : 917-974-8445
Provider Enumeration Date : 06/21/2018
Last Update Date : 06/21/2018

Similar Medicare Providers

1306816830 — DR. ROBERT THOMAS KREUTZ DDS
Practice Location Address:
2046 W COUNTY LINE RD , SUITE 1
JACKSON, NJ
08527-2014
Practice Phone: 732-905-9932
Practice Fax: 732-905-7289
1194806406 — DR. LOUIS NAPOLITANO DMD
Practice Location Address:
2046 W COUNTY LINE RD , SUITE 2
JACKSON, NJ
08527-2014
Practice Phone: 732-905-2488
Practice Fax: 732-905-8088
1790904373 — ELLEN BERMAN,LCSW
Practice Location Address:
2050 W COUNTY LINE RD
JACKSON, NJ
08527-2014
Practice Phone: 732-370-5355
Practice Fax:
1689823601 — ROBERT KREUTZ DDS LLC
Practice Location Address:
2046 W COUNTY LINE RD , SUITE 1
JACKSON, NJ
08527-2014
Practice Phone: 732-905-9932
Practice Fax: 732-905-7289
1093160251 — RENATA ALEKHNOVICH DMD
Practice Location Address:
2064 W COUNTY LINE RD
JACKSON, NJ
08527-2014
Practice Phone: 732-637-9805
Practice Fax:
1730824129 — KRISTINA KEROLUS DDS
Practice Location Address:
2064 W COUNTY LINE RD
JACKSON, NJ
08527-2014
Practice Phone: 732-637-9805
Practice Fax:

Directions to “JACKSON PEDIATRIC DENTISTRY PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.