Individual
DR. JOSEPH M JAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 WOODLAND ROAD, BINGHAMTON, NY 13901
(607) 723-9391
(607) 724-8587
Mailing address
1 WOODLAND ROAD, BINGHAMTON, NY 13901
(607) 723-9391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280519
—
NY
Enumeration date
11/16/2006
Last updated
07/08/2007
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