Shavon Jackson-Michel, N.D

NPI 1144523390 · on the registry since 2010 · sole proprietor

Practice

Address: 399 Hoover Ave
Suite 8
Bloomfield, NJ 07003
Phone: (973) 544-8399
Fax: (973) 429-7887
Organisation at this address: Primary Care Partners, Llc
Brookside Family Dental Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 175F00000X
175F00000X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey