OrganizationActive
State Street Smiles Pediatric Dentistry LLC.
NPI 1386883668 · Pediatric Dentistry · Hackensack, NJ
State Street Smiles Pediatric Dentistry LLC. is a Pediatric Dentistry organization in Hackensack, NJ (NPI 1386883668).
Provider details
- NPI number
- 1386883668
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edward Jackson, Pediatric Dentist(201) 487-7030
- License
- D121365 (NJ)
Practice location
405 State St
Hackensack, NJ 07601-4421
Phone: (201) 487-7030
Fax: (201) 487-4418
Street-level locationGet directions
Mailing address
405 State St
Hackensack, NJ 07601-4421
Registry dates
- Enumerated
- 2009-02-11
- Last updated
- 2009-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.