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Dr. Edward Michael Jackson , DMD

Dentist - Pediatric Dentistry • Hackensack, NJ

Active NPI 1477640373 Individual Practitioner Male Practitioner
Practice location in NPPES

405 State St
Hackensack, NJ 076014421

Call 2014877030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

405 State St

Hackensack, NJ 076014421

Telephone 2014877030
Fax 2014874418
Organization at the Same NPPES Address or Phone
State Street Smiles Pediatric Dentistry Llc. Facility NPI 1386883668

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - Pediatric Dentistry: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2024

All general payments: $97.83 across 2 records.

By nature of payment

  • Food and Beverage: $97.83 across 2 records.

Reporting-company totals

  • Hu-Friedy Mfg. Co., LLC: $73.53 across 1 record.
  • American Orthodontics Corporation: $24.30 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hackensack and New Jersey

6 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Hackensack, NJ (419 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $97.83.

Manufacturer Payment Nature Product Type Amount ($)
Hu-Friedy Mfg. Co., LLC
Food and Beverage
In-kind items and services
— General $73.53
American Orthodontics Corporation
Food and Beverage
Cash or cash equivalent
EMPOWER-METAL General $24.30

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES NJ DI 21365

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Career & Practice History

NPI enumerated October 10, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1477640373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

249 Greve Dr

New Milford, NJ 076462313

Phone: 2012658879

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.