Dr. Stephen T Deehan IV, dmd
Dentist, General Practice in Hackettstown, NJ. Individual provider (NPI-1).
NPI number1902013154
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1902013154
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen T Deehan IV
- Credential
- dmd
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 22D101899400 | NJ | Yes |
Practice location
121 Shelley DrSuite 1e
Hackettstown, NJ 07840-2530
Phone 908-852-6626 · Fax 908-852-5141
Mailing address
121 Shelley DrSuite 1e
Hackettstown, NJ 07840-2530
Phone 908-852-6626 · Fax 908-852-5141
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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