Provider Demographics
NPI:1083836050
Name:STYGER, JOSEPH COLLINS (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:COLLINS
Last Name:STYGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:C
Other - Last Name:STYGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS INC
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:STE 2140
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4112
Mailing Address - Country:US
Mailing Address - Phone:415-421-0811
Mailing Address - Fax:415-421-9202
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:STE 2140
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4112
Practice Address - Country:US
Practice Address - Phone:415-421-0811
Practice Address - Fax:415-421-9202
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice