Provider Demographics
NPI:1295974756
Name:SCHECTER, JONATHAN ELI (DDS)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ELI
Last Name:SCHECTER
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:725 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4920
Mailing Address - Country:US
Mailing Address - Phone:631-661-6202
Mailing Address - Fax:631-661-7269
Practice Address - Street 1:725 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4920
Practice Address - Country:US
Practice Address - Phone:631-661-6202
Practice Address - Fax:631-661-6202
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY049964-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics