Provider Demographics
NPI:1649446063
Name:JAFFERY, BAQIR (DMD)
Entity type:Individual
Prefix:DR
First Name:BAQIR
Middle Name:
Last Name:JAFFERY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 LINCOLN AVE N
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2343
Mailing Address - Country:US
Mailing Address - Phone:973-563-9860
Mailing Address - Fax:
Practice Address - Street 1:366 LINCOLN AVE N
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2343
Practice Address - Country:US
Practice Address - Phone:973-563-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ213L2421122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist