State Street Smiles

LBN: State Street Smiles
State Street Smiles is an health care organization with primary practice located at 405 Main Street , Hackensack NJ 07601. The organization recently has only one registered license in Dental Providers / Advanced Practice Dental Therapist, which is considered as the primary health care specialty. State Street Smiles can be contacted via phone (201) 487-7030, or through Jackson, Edward via phone (201) 487-7030.

Contact Information

Primary practice address
405 Main Street Hackensack NJ 07601
Phone: (201) 487-7030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Edward
Phone: (201) 487-7030

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Advanced Practice Dental Therapist 125K00000X

Profile Details

NPI number 1073060612
LBN Legal business name State Street Smiles
DBA Doing business as
Authorized official Jackson, Edward
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers