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1730163106 NPI number — GUENTER J JONKE DMD

NPI Number: 1730163106
Health Care Provider/Practitioner: GUENTER J JONKE DMD

Information about “1730163106” NPI (GUENTER J JONKE DMD) exists in 1730163106 in HTML format HTML  |  1730163106 in plain Text format TXT  |  1730163106 in PDF (Portable Document Format) PDF  |  1730163106 in an XML format XML  formats.

NPI Number : 1730163106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730163106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONKE",
    "FirstName": "GUENTER",
    "MiddleName": "J",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 ABBEY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SETAUKET",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11733-1939",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-751-8001",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2500 NESCONSET HWY",
    "SecondLinePracticeLocationAddress": "BLDG 12D",
    "PracticeLocationAddressCityName": "STONY BROOK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11790-2555",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-689-7575",
    "PracticeLocationAddressFaxNumber": "631-689-2418",
    "EnumerationDate": "11/30/2005",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": "042107",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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