Individual provider · Type 1 NPI

Jonah Peter Spaeth, DDS

Pediatric Dentistry · Medford, NY

NPI number 1700469244 Active

Practice location

3237 NY-112, Bldg 6 Suite 7B
Medford, NY 11763

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X063505 (NY)

Pediatric Dentistry: 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.

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About NPI 1700469244

Jonah Peter Spaeth, DDS's National Provider Identifier is 1700469244, issued on May 3, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Medford, NY. The record was last updated on Sep 18, 2023.