State Street Smiles
State Street Smiles is an Advanced Practice Dental Therapist in Hackensack, New Jersey. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
405 Main StHackensack, NJ 07601
Phone: (201) 487-7030
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Advanced Practice Dental Therapist (primary) | Taxonomy 125K00000X |
|---|
Record details
| NPI number | 1073060612 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State Street Smiles |
| Authorized official | Edward Jackson — Doctor · (201) 487-7030 |
| NPI enumerated | September 1, 2016 |
| Last updated in NPPES | September 1, 2016 |
| Mailing address | 405 Main St, Hackensack, NJ 07601-5965 |