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

Dr. Lisa Ann Jedacek, DMD, MPH

Individual provider Dentist · NPI 1528650710

Dr. Lisa Ann Jedacek, DMD, MPH is a Dentist in Bronx, New York. Works from 10 locations. Licensed in Massachusetts, Michigan, New Jersey and Ohio and 1 more.

Licensed in
MA, MI, NJ, OH, VA
In the registry since
2021
Specialties on file
9
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone: (718) 918-5000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 4749 S Baldwin Rd, Lake Orion, MI 48359-2114 — (248) 422-0555
  • 1516 Nj-138, Wall Township, NJ 07719 — (732) 681-5544
  • 1817 Mayflower Ave, Bronx, NY 10461-4103 — (440) 665-3973
  • 378 Atlantic Ave, Brooklyn, NY 11217-5000 — (718) 412-5221
  • 378 Atlantic Ave, Brooklyn, NY 11217-5000 — (718) 412-5221
  • 1700 Monroe St, Endicott, NY 13760-5512 — (607) 953-4445
  • 2165 Cunningham Dr, Hampton, VA 23666-2569 — (757) 755-8846
  • 11934 W Broad St Ste 120, Henrico, VA 23233-1100 — (804) 293-2662
  • 5002 Airport Rd Nw # 30, Roanoke, VA 24012-1607 — (540) 900-4782

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence 0401418721 (VA)
Dentist Taxonomy 122300000X · Licence 22DI03015700 (NJ)
Dentist Taxonomy 122300000X · Licence 0401418721 (VA)
Dental Anesthesiology Taxonomy 1223D0004X · Licence DN10000315 (MA)
Dental Anesthesiology Taxonomy 1223D0004X · Licence 2901602093 (MI)
Dentist Taxonomy 122300000X · Licence DN10000315 (MA)
Dentist Taxonomy 122300000X · Licence 2901602093 (MI)
Dentist Taxonomy 122300000X · Licence 30.027607 (OH)
Dental Anesthesiology Taxonomy 1223D0004X · Licence 30.027607 (OH)

Record details

NPI number1528650710
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MPH
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Other providers in Bronx