# MODERN FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184054645
- **Authorized official:** DR. JENNIFER MARIN DMD (MANAGER)
- **Authorized official phone:** (917) 561-7256

## Contact information

- **Practice address:** 551 JERSEY AVE, GROUND FLOOR, JERSEY CITY, NJ 07302-2788
- **Practice address phone:** (917) 561-7256
- **Mailing address:** 551 JERSEY AVE, GROUND FLOOR, JERSEY CITY, NJ 07302-2788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02454300 | NJ | Yes |

## Other

- **Enumeration date:** 11/20/2013
- **Last updated:** 11/20/2013