Dr. Edward Michael Jackson, DMD
Dr. Edward Michael Jackson is a Pediatric Dentistry provider (Dentist) practicing in Hackensack, NJ, registered in the NPPES registry with NPI 1477640373 since 2006. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at State Street Smiles Pediatric Dentistry LLC. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1477640373 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Edward Michael Jackson |
| Credential | DMD |
| Sex | Male |
| Practice address | Hackensack, NJ, 07601 |
| Phone | 2014877030 |
| Fax | 2014874418 |
| Enumeration date | 2006-10-10 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | DI 21365 | NJ |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Edward Jackson, DMD NPI: 1477640373 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: Hackensack, NJ, 07601
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295816411 | Dina Jackson | Individual | Dentist | Hackensack, NJ |
| 1164507042 | Menachem Stamler | Individual | General Practice Dentistry | Hackensack, NJ |
| 1386883668 | State Street Smiles Pediatric Dentistry LLC. | Organization | Pediatric Dentistry | Hackensack, NJ |
Verify this record
Cross-check NPI 1477640373 against the authoritative CMS record: view Dr. Edward Michael Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1477640373 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.