Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1588158539

Jackson Pediatric Dentistry PC is a Pediatric Dentistry in Jackson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2064 W County Line Rd
Jackson, NJ 08527-2014
Phone: (732) 637-9805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22DI02529300 (NJ)

Record details

NPI number1588158539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Mikhly — Owner · (917) 974-8445
NPI enumeratedJune 21, 2018
Last updated in NPPESJune 21, 2018
Mailing address2064 W County Line Rd, Jackson, NJ 08527-2014

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