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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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