# NORTHFIELD FAMILY DENTAL GROUP

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

## Provider details

- **NPI number:** 1386845154
- **Authorized official:** KENNETH L JAGGER DDS (DENTIST OWNER)
- **Authorized official phone:** (609) 646-9100

## Contact information

- **Practice address:** 1423 TILTON RD, STE 2, NORTHFIELD, NJ 08225
- **Practice address phone:** (609) 646-9100
- **Practice address fax:** (609) 646-3016
- **Mailing address:** 1423 TILTON RD, SUITE 2, NORTHFIELD, NJ 08225
- **Mailing address phone:** (609) 646-9100
- **Mailing address fax:** (609) 646-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01139300 | NJ | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020