Individual
STEPHEN JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-9073
(406) 395-4486
Mailing address
620 13TH ST W APT 5, HAVRE, MT 59501-4807
(908) 619-3119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041842
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DS041842
—
PA
Enumeration date
07/16/2018
Last updated
07/16/2018
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