# ADVANCED DENTISTRY OF JACKSON, LLC

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

## Provider details

- **NPI number:** 1851310148
- **Authorized official:** DR. JANNIFER CHRISTOPHER D.M.D. (OWNER)
- **Authorized official phone:** (732) 363-1331

## Contact information

- **Practice address:** 2121 W COUNTY LINE RD, JACKSON, NJ 08527-2357
- **Practice address phone:** (732) 363-1331
- **Mailing address:** 2121 W COUNTY LINE RD, JACKSON, NJ 08527-2357
- **Mailing address phone:** (732) 363-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI21701 | NJ | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DI21701 | LICENSE NUMBER | NJ |