Organization
ADVANCED DENTISTRY OF JACKSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANNIFER CHRISTOPHER D.M.D. (OWNER)
(732) 363-1331
Entity
Organization
Contact information
Practice address
2121 W COUNTY LINE RD, JACKSON, NJ 08527-2357
(732) 363-1331
Mailing address
2121 W COUNTY LINE RD, JACKSON, NJ 08527-2357
(732) 363-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI21701
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI21701
LICENSE NUMBER
NJ
Enumeration date
07/19/2006
Last updated
08/22/2020
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