Jack Legon DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10842 Issued in NJ

Legal business name

JACK LEGON DMD PA

Practice address

40 Park PL
Newton, NJ 07860-1747

Phone

(973) 383-5700

Fax

(973) 383-4131

NPI assigned

Jul 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack Legon, D.M.D.

Title

Dentist/Owner

Phone

(973) 383-5700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235150335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK PL",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601747",
            "telephone_number": "973-383-5700",
            "fax_number": "973-383-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK PL",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601747",
            "telephone_number": "973-383-5700",
            "fax_number": "973-383-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK LEGON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "973-383-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "10842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Iacopelli, M.A., LPC
• Araz Ibragimov, DO
• Heather Imperato-Shedden, MSW, LCSW
• Jennifer Iorio, RDMS, RVT
• Robin Ivey
• Omotola Jaiyebo, MD
• Janine Maris LCSW, LLC
• Melissa Javier
• Rongjie Jiang, M.D
• Mareena Johnson, FNP

• Dental Clinic/Center in Newton, NJ
• Providers in Newton, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.