OrganizationActive
State Street Smiles
NPI 1073060612 · Advanced Practice Dental Therapist · Hackensack, NJ
State Street Smiles is a Advanced Practice Dental Therapist organization in Hackensack, NJ (NPI 1073060612).
Provider details
- NPI number
- 1073060612
- Entity type
- Organization
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Parent organization
- State Street Smiles
- Organization subpart
- Yes
- Authorized official
- Edward Jackson, Doctor(201) 487-7030
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 Main Street
Hackensack, NJ 07601
Phone: (201) 487-7030
Street-level locationGet directions
Mailing address
405 Main St
Hackensack, NJ 07601-5965
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Frequently asked questions
- What is State Street Smiles's NPI number?
- State Street Smiles's National Provider Identifier (NPI) is 1073060612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Street Smiles?
- State Street Smiles is classified in the NPPES registry as Advanced Practice Dental Therapist (Dental Providers).
- Where is State Street Smiles located?
- State Street Smiles's practice location on file with NPPES is 405 Main Street, Hackensack, NJ 07601.
- What is State Street Smiles's phone number?
- The practice phone number listed in the NPPES registry for State Street Smiles is (201) 487-7030.
- Who is the authorized official for State Street Smiles?
- The authorized official listed on State Street Smiles's NPPES record is Edward Jackson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Street Smiles's NPI active?
- Yes — State Street Smiles's NPI (1073060612) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.