Spaeth, Jonah Peter
Spaeth, Jonah Peter is an sole proprietor health care provider with primary practice located at 3237 Ny-112 Bldg 6 Suite 7B, Medford NY 11763. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Spaeth, Jonah Peter can be contacted via phone (631) 320-0880.Contact Information
Primary practice address
3237 Ny-112 Bldg 6 Suite 7B
Medford NY 11763
Phone: (631) 320-0880
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Pediatric Dentistry | 1223P0221X | 063505 | New York |
Profile Details
NPI number | 1700469244 |
---|---|
LBN Legal business name | Spaeth, Jonah Peter |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2021 |
Last updated | Sep 18th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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