Provider Demographics
NPI:1104203272
Name:ALLAEB, YAAKOV
Entity Type:Individual
Prefix:
First Name:YAAKOV
Middle Name:
Last Name:ALLAEB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YAAKOV
Other - Middle Name:
Other - Last Name:ALLAEB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:370 W PLEASANTVIEW AVE # 14A
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-8004
Mailing Address - Country:US
Mailing Address - Phone:201-373-2837
Mailing Address - Fax:
Practice Address - Street 1:370 W PLEASANTVIEW AVE # 14A
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8004
Practice Address - Country:US
Practice Address - Phone:201-373-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0572911223S0112X
CT124151223S0112X
NJ22DI027737001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery