CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC; NPI #1710552278

Contact Information

CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC

27 S COOKS BRIDGE RD STE 2-3
JACKSON, NJ 08527-2462

Phone: 732-928-1099
Fax: 732-833-1690
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC

NPI Number	`1710552278`
LBN Legal business name	CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC
Authorized official	VAN PHI LE - (CREDENTIALING CONTRACTS MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/26/2021
Last updated	08/24/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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