Provider Demographics
NPI:1962628628
Name:HADJOKAS, BYRON EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:EDWARD
Last Name:HADJOKAS
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 1:1449 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4266
Mailing Address - Country:US
Mailing Address - Phone:610-433-6760
Mailing Address - Fax:
Practice Address - Street 1:1449 W HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4266
Practice Address - Country:US
Practice Address - Phone:610-433-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 025985 R1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice