MEDICARE: DR. JAY CAZES DDS

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
1	1223G0001X	General Practice Dentistry	DIO18446	NJ

General Provider Information

NPI Number	:	1841361995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY CAZES DDS

Provider Business Mailing Address
First Line	:	358 NAUGHRIGHT RD
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3806
Country	:	US
Telephone Number	:	908-852-1100
Fax Number	:	908-852-2522

Provider Business Practice Location Address
First Line	:	358 NAUGHRIGHT RD
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3806
Country	:	US
Telephone Number	:	908-852-1100
Fax Number	:	908-852-2522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2006
Last Update Date	:	07/08/2007

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