Provider Demographics
NPI:1134327646
Name:OLESKY, CATHLEEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:
Last Name:OLESKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 GANTTOWN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1888
Mailing Address - Country:US
Mailing Address - Phone:856-589-4600
Mailing Address - Fax:856-589-6411
Practice Address - Street 1:432 GANTTOWN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-1888
Practice Address - Country:US
Practice Address - Phone:856-589-4600
Practice Address - Fax:856-589-6411
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI015371021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice