Provider Demographics
NPI:1851829881
Name:HUGHES-BURNETT, JESSICA SHERLETTE (DDS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SHERLETTE
Last Name:HUGHES-BURNETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:SHERLETTE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:245 HAGAN PL
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3703
Mailing Address - Country:US
Mailing Address - Phone:412-953-3381
Mailing Address - Fax:
Practice Address - Street 1:41 WILSON AVE
Practice Address - Street 2:SUITE 2D
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105
Practice Address - Country:US
Practice Address - Phone:973-589-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-04
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027472001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice