# JACKSON JOINT VENTURES LIMITED LIABILITY

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

## Provider details

- **NPI number:** 1497904437
- **Authorized official:** DR. GREGORY SCLAFANI DDS (PRESIDENT)
- **Authorized official phone:** (732) 901-1970

## Contact information

- **Practice address:** 1102 BENNETTS MILLS ROAD, JACKSON, NJ 08527
- **Practice address phone:** (732) 901-1970
- **Practice address fax:** (732) 901-3844
- **Mailing address:** 1102 BENNETTS MILLS ROAD, JACKSON, NJ 08527
- **Mailing address phone:** (732) 901-1970
- **Mailing address fax:** (732) 901-3844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 014621 | NJ | — |
| 1223G0001X | General Practice Dentistry | 1019138 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | 1021108 | NJ | — |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 09/15/2008