Provider Demographics
NPI:1942422233
Name:JEFFREY S. SACHS, D.M.D., P.C.
Entity Type:Organization
Organization Name:JEFFREY S. SACHS, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SACHS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-739-0900
Mailing Address - Street 1:812 POOLE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2024
Mailing Address - Country:US
Mailing Address - Phone:732-739-0900
Mailing Address - Fax:732-739-9597
Practice Address - Street 1:812 POOLE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2024
Practice Address - Country:US
Practice Address - Phone:732-739-0900
Practice Address - Fax:732-739-9597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01610100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty