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Dr. Jonah Peter Spaeth, DDS
Pediatric Dentist in Medford, New York
NPI 1700469244

Jonah Peter Spaeth is a Pediatric Dentist based in Medford, NY and is specialized in Pediatric Dentistry. Jonah Peter Spaeth practices in Medford, NY and has the professional credentials of DDS. The NPI Number for Jonah Peter Spaeth is 1700469244 and holds a License No. (New York).

The current practice location address for Jonah Peter Spaeth is 3237 Ny-112, Medford, NY and can be reached out via phone at 631-320-0880.

Location: 3237 Ny-112, Medford, NY, 11763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700469244
Provider Name
Jonah Peter Spaeth
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3237 Ny-112, Medford, NY, 11763
Phone Number
631-320-0880
Fax Number
Provider Enumeration Date
05/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3237 Ny-112
City
Medford
State
New York
Zip
11763
Phone Number
631-320-0880
Fax Number
person
Provider Business Mailing Address Details
Address
3237 Ny-112
City
Medford
State
New York
Zip
11763
Phone Number
631-320-0880
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
063505 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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