Advanced Dentistry of Jackson, LLC

Organization Active NPI General Practice Dentistry · Jackson, NJ

NPI 1851310148 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1851310148
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DI21701 (NJ)
Legal business name
ADVANCED DENTISTRY OF JACKSON, LLC
Practice address
2121 W County Line Rd
Jackson, NJ 08527-2357
Phone
(732) 363-1331
NPI assigned
Jul 19, 2006
Organization subpart
No

Authorized official

Name
Dr. Jannifer Christopher, D.M.D.
Title
Owner
Phone
(732) 363-1331

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DI21701 NJ Yes

Addresses

Primary practice location

2121 W County Line Rd
Jackson, NJ 08527-2357

Mailing address

2121 W County Line Rd
Jackson, NJ 08527-2357
Phone (732) 363-1331

Other identifiers

IdentifierTypeStateIssuer
DI21701OtherNJLICENSE NUMBER

Other providers in Jackson, NJ

All providers in Jackson, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.