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NPI Code Detail

MEDICARE: DR. STEPHEN HAYES SPECTOR D.D.S.

MEDICARE:  DR. STEPHEN HAYES SPECTOR  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics12507NJ

General Provider Information

NPI Number : 1639192461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN HAYES SPECTOR D.D.S.
Provider Business Mailing Address
First Line : 194 JACK MARTIN BLVD
Second Line :
City : BRICK
State : NJ
Zip : 08724-7769
Country : US
Telephone Number : 732-458-1400
Fax Number :
Provider Business Practice Location Address
First Line : 194 JACK MARTIN BLVD
Second Line :
City : BRICK
State : NJ
Zip : 08724-7769
Country : US
Telephone Number : 732-458-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEPHEN HAYES SPECTOR D.D.S.” Practice Location

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