Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonah Peter Spaeth, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700469244

Dr. Jonah Peter Spaeth, DDS is a Student in an Organized Health Care Education/Training Program in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3237 NY-112 Bldg 6 Ste 7B
Medford, NY 11763
Phone: (631) 320-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 063505 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700469244
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 3, 2021
Last updated in NPPESSeptember 18, 2023
Certification dateAugust 11, 2023
Mailing address3237 Ny-112, Bldg 6 Suite 7b, Medford, NY 11763

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