Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477640373 Individual Practitioner Male Practitioner

Dr. Edward Michael Jackson , DMD

Dentist - Pediatric Dentistry • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Edward Jackson, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Hackensack, NJ. Practice services are available at 405 STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 State St

Hackensack, NJ 076014421

Telephone 2014877030
Fax 2014874418
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 54.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Hackensack, NJ (421 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License NJ DI 21365

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Menachem Stamler , DMD

Dentist - General Practice

NPI 1164507042

Doctor of Dental Medicine

NPI 1295816411

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 405 STATE ST, HACKENSACK, NJ 076014421 (Tel: 2014877030)

📍
Updated Business Mailing Address July 08, 2007

Registered at 249 GREVE DR, NEW MILFORD, NJ 076462313 (Tel: 2012658879)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD JACKSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DI 21365 in NJ)

🟢
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477640373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

249 Greve Dr

New Milford, NJ 076462313

Phone: 2012658879

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.