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Contact Information

JOSEPH M JAEN, DMD
1 WOODLAND ROAD
BINGHAMTON, NY13901
 Phone: 607-723-9391
 Fax: 607-724-8587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JOSEPH M JAEN · (Male)

NPI Number 1538232756
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 047901
  • NY Medicaid 02280519
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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