# STEPHEN JAEGER DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609656396
- **Authorized official:** VALERIE HAMILTON (DIRECTOR OF CONTRACTING)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 799 US HIGHWAY 1, ISELIN, NJ 08830
- **Practice address phone:** (732) 362-2583
- **Mailing address:** PO BOX 70887 SUITE A, CLEVELAND, OH 44190-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 06/05/2024