Provider Demographics
NPI:1659566255
Name:JOSEPH C. STYGER, D.D.S., INC.
Entity Type:Organization
Organization Name:JOSEPH C. STYGER, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:COLLINS
Authorized Official - Last Name:STYGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-421-0811
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 2140
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
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:SUITE 2140
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-421-0811
Practice Address - Fax:415-421-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty