Organization Active NPI

Jon Paul Jacquet DDS, LLC

  • Dental Clinic/Center
  • Millville, NJ
National Provider Identifier
1982461869
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JON PAUL JACQUET DDS, LLC
Practice address
25 E Main St
Millville, NJ 08332-4289
Phone
(856) 825-4259
Fax
(856) 825-8555
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. Jon Paul Jacquet, DDSNPI 1043459514
Title
Owner
Phone
(856) 825-4259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

25 E Main St
Millville, NJ 08332-4289

Mailing address

101 Sherman Ave
Millville, NJ 08332-3521
Phone (568) 254-2598

Other names 1

  • Jacquet Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1982461869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHERMAN AVE",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323521",
            "telephone_number": "568-254-2598",
            "fax_number": "856-825-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E MAIN ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324289",
            "telephone_number": "856-825-4259",
            "fax_number": "856-825-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON PAUL JACQUET DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "JACQUET",
        "authorized_official_first_name": "JON PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-825-4259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacquet Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.