Provider Demographics
NPI:1265656300
Name:TRZASKA, JAMES DOUGLAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLAS
Last Name:TRZASKA
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 1:320 LOCKPORT ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14174-1104
Mailing Address - Country:US
Mailing Address - Phone:716-745-7052
Mailing Address - Fax:716-745-7144
Practice Address - Street 1:320 LOCKPORT ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:NY
Practice Address - Zip Code:14174-1104
Practice Address - Country:US
Practice Address - Phone:716-745-7052
Practice Address - Fax:716-745-7144
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047050-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice