Individual
DR. JESSE C DOSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSC
Contact information
Practice address
1075 CENTRAL PARK AVENUE, SUITE 207, SCARSDALE ORAL SURGERY, P.C., SCARSDALE, NY 10583
(914) 472-5252
(914) 722-5987
Mailing address
1075 CENTRAL PARK AVENUE, SUITE 207, SCARSDALE ORAL SURGERY, P.C., SCARSDALE, NY 10583
(914) 472-5252
(914) 722-5987
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
053282
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
053282
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2010
Last updated
08/12/2015
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