Provider Demographics
NPI:1053483727
Name:SLONECKI, BARBARA JOSEPHINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JOSEPHINE
Last Name:SLONECKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MARINER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-5024
Mailing Address - Country:US
Mailing Address - Phone:631-587-7033
Mailing Address - Fax:
Practice Address - Street 1:67 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2319
Practice Address - Country:US
Practice Address - Phone:631-224-1381
Practice Address - Fax:631-224-1437
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist