Provider Demographics
NPI:1770945024
Name:QUICK, JESSICA D (DDS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:D
Last Name:QUICK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 EISENHOWER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1452
Mailing Address - Country:US
Mailing Address - Phone:201-506-0006
Mailing Address - Fax:
Practice Address - Street 1:45 EISENHOWER DR STE 100
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1452
Practice Address - Country:US
Practice Address - Phone:201-556-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026956001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry