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

Dr. Edward Michael Jackson, DMD

Individual provider Pediatric Dentistry · NPI 1477640373

Dr. Edward Michael Jackson, DMD is a Pediatric Dentistry in Hackensack, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

405 State St
Hackensack, NJ 07601-4421
Phone: (201) 487-7030
Fax: (201) 487-4418
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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 DI 21365 (NJ)

Record details

NPI number1477640373
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address249 Greve Dr, New Milford, NJ 07646-2313

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