Provider Demographics
NPI:1508064874
Name:HOCHREITER, JONATHAN JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:JOSEPH
Last Name:HOCHREITER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-1403
Mailing Address - Country:US
Mailing Address - Phone:315-331-4530
Mailing Address - Fax:315-331-8305
Practice Address - Street 1:114 HIGH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-1403
Practice Address - Country:US
Practice Address - Phone:315-331-4530
Practice Address - Fax:315-331-8305
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist