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Contact Information

MARIE M JACKSON, DMD
50 ROUTE 15
LAFAYETTE TOWNSHIP, NJ07848
 Phone: 973-579-7888
 Fax: 973-579-7865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARIE M JACKSON · (Female)

NPI Number 1093040701
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/14/2009
Last updated 10/14/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 22DI02414700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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