Dr. Frank Dejackmo , DMD
Dentist - General Practice • Nutley, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frank Dejackmo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Frank Dejackmo, DMD was a registered Dentist - General Practice practicing in Nutley, NJ. Throughout an active medical career spanning 18 years, Dr. Dejackmo provided care at the practice location at 128 FRANKLIN AVE until profile deactivation on 2024-10-02.
Practice Location & Contact Primary Location
128 Franklin Ave
Nutley, NJ 071102925
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Nutley, NJ
Practicing in Nutley, NJ (4316 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 02, 2024
NPI status registered as active in NPPES database
Registered at 128 FRANKLIN AVE, NUTLEY, NJ 071102925 (Tel: 9736611075)
Registered at 128 FRANKLIN AVE, NUTLEY, NJ 071102925 (Tel: 9736611075)
Recorded as FRANK DEJACKMO, D.M.D.
Dentist (License #10504 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
128 Franklin Ave
Nutley, NJ 071102925
Phone: 9736611075
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