Stephen Jaeger Dmd LLC
Dentist, General Practice in Iselin, NJ. Organization (NPI-2).
NPI number1609656396
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1609656396
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen Jaeger Dmd LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
799 Us Highway 1Iselin, NJ 08830
Phone 732-362-2583
Mailing address
Po Box 70887 Suite ACleveland, OH 44190-0001
Authorized official
Valerie Hamilton
Director Of Contracting
3154546000
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