| Jackson Jeong Dds Llc | |
| 
					521 County Route 515 Unit 3 And 4 Vernon NJ 07462  | |
| (617) 834-0237 | |
| Not Available | 
| Full Name | Jackson Jeong Dds Llc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 521 County Route 515, Vernon, New Jersey | 
| Authorized Official Name and Position | Jackson Jeong (OWNER/DENTIST) | 
| Authorized Official Contact | 6178340237 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jackson Jeong Dds Llc 526 Glen Ave # A Palisades Park NJ 07650-1806 Ph: (617) 834-0237  | Jackson Jeong Dds Llc 521 County Route 515 Unit 3 And 4 Vernon NJ 07462 Ph: (617) 834-0237  | 
| NPI Number | 1184317729 | 
|---|---|
| Provider Enumeration Date | 05/30/2023 | 
| Last Update Date | 05/30/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184317729 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
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