Provider Demographics
NPI:1114027919
Name:KRIZNER, JONATHAN PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:PATRICK
Last Name:KRIZNER
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 1:7829 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5104
Mailing Address - Country:US
Mailing Address - Phone:724-438-0241
Mailing Address - Fax:724-439-0500
Practice Address - Street 1:7829 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5104
Practice Address - Country:US
Practice Address - Phone:724-438-0241
Practice Address - Fax:724-439-0500
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025257L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice