JACK LEGON DMD PA (NPI# 1235150335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235150335 |
| Entity Type | Organization |
| Organization Name | JACK LEGON DMD PA |
| Practice Address |
40 Park Pl Newton NJ 07860-1747 |
| Practice Telephone | 9733835700 |
| Practice Fax Number | 9733834131 |
| Mailing Telephone | 9733835700 |
| Mailing Fax Number | 9733834131 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACK LEGON (DENTIST/OWNER) |
| Authorized Official Telephone | 9733835700 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10842 | NJ | Ambulatory Health Care Facilities |
| Street Address |
40 PARK PL |
| City | NEWTON |
| State | NJ |
| Zip Code | 07860-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912345927 | Jack Legon | Dentist | 40 Park Pl, Newton, NJ 07860-1747 | 2013-06-12 |
| 1598016743 | Marlayna Caroline Best | Dentist | 40 Park Pl, Suite 108, Newton, NJ 07860-1747 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827920 | Alepty Krista Dwyer | Social Worker | 4 High Street, Newton, NJ 07860 | 2020-03-26 |
| 1588298962 | Gen-tel Medicine, LLC | Clinic/Center | The Center for Prevention and Counseling/dr.ganon, 61 Spring Street, First Floor, Newton, NJ 07860 | 2020-02-25 |
| 1558849836 | Deanna Brace | Marriage & Family Therapist | 30 Moran Street, 2nd Floor, Newton, NJ 07860 | 2018-07-30 |
| 1336630599 | Steven Frank Bogart Dds and Hubert Gugala Dmd | Oral & Maxillofacial Surgery | 57 Route 46 Suite 207, Hackettstown, NJ 07860 | 2018-05-23 |
| 1598141889 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Mill Street, Newton, NJ 07860 | 2015-08-10 |
| 1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
| 1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
| 1841676988 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Stuart Street, Newton, NJ 07860 | 2015-07-30 |
| 1215313341 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71b Trinity Street, Newton, NJ 07860 | 2015-07-30 |
| 1467837153 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 51 Ballantine Road, Andover Township, NJ 07860 | 2015-07-23 |
| Find all providers in zip 07860 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1407491558 | Newton Dental, Pllc | Clinic/Center | 345 Boylston St Ste 101, Newton, MA 02459-2863 | 2019-11-13 |
| 1457837247 | William A. Setzer, Dmd, Pllc | Clinic/Center | 430 W 20th St Ste 4, Newton, NC 28658-3732 | 2018-07-14 |
| 1295373827 | David B Gaddis Dds Pa | Clinic/Center | 14 N Ashe Ave, Newton, NC 28658-3229 | 2019-12-13 |
| 1245882604 | 42 North Dental Care, LLC | Clinic/Center | 188 Needham St, Newton, MA 02464-1596 | 2019-07-15 |
| 1518521897 | Smolyar Dental LLC | Clinic/Center | 71 Needham St, Newton, MA 02461-1663 | 2019-04-23 |
| 1386101863 | T D Filandrianos and Associates LLC | Clinic/Center | 1400 Centre St Ste 101, Newton, MA 02459-2415 | 2019-02-21 |
| 1982171849 | Regis College | Clinic/Center | 777 Dedham St, Newton, MA 02459-3323 | 2018-10-30 |
| 1225303811 | Newton Corner Dental Care | Clinic/Center | 313 Washington St, Suite 100, Newton, MA 02458-1626 | 2012-03-14 |
| 1396033932 | Yoon H. Kang, Dmd, Phd, LLC | Clinic/Center | 93 Union St, Suite 404, Newton, MA 02459-2244 | 2011-07-18 |
| Find all providers in NEWTON | ||||
Please comment or provide details below to improve the information on JACK LEGON DMD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.