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State Street Smiles Pediatric Dentistry LLC.

Pediatric Dentistry in Hackensack, NJ · enumerated 2009 · authorized official Edward Jackson, Pediatric Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386883668

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Registry record

Entity type Organization (Type 2)
Legal business name State Street Smiles Pediatric Dentistry LLC.
Practice address 405 State St, Hackensack, NJ, 07601
Phone (201) 487-7030
Fax (201) 487-4418
Enumeration date Feb 11, 2009
Last updated in NPPES Feb 11, 2009

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License D121365 (NJ) Primary

Authorized official

Name Edward Jackson
Title Pediatric Dentist
Phone (201) 487-7030

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.

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Frequently asked questions

Where is State Street Smiles Pediatric Dentistry LLC. located?
The practice location on file with NPPES is in Hackensack, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-02-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-11.