Provider Demographics
NPI:1306016928
Name:BYCZEK, EWA TERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EWA
Middle Name:TERESA
Last Name:BYCZEK
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 1:6890 PERIMETER DR STE B
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8047
Mailing Address - Country:US
Mailing Address - Phone:614-718-2222
Mailing Address - Fax:614-547-6532
Practice Address - Street 1:6890 PERIMETER DR STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8047
Practice Address - Country:US
Practice Address - Phone:614-718-2222
Practice Address - Fax:614-547-6532
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-00861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics