Provider Demographics
NPI:1376647933
Name:SZLYK, JAMES PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:SZLYK
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 1:553 MAST RD
Mailing Address - Street 2:GOFFSTOWN PLAZA SUITE 11
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-5228
Mailing Address - Country:US
Mailing Address - Phone:603-668-5307
Mailing Address - Fax:603-668-1875
Practice Address - Street 1:553 MAST RD
Practice Address - Street 2:GOFFSTOWN PLAZA SUITE 11
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-5228
Practice Address - Country:US
Practice Address - Phone:603-668-5307
Practice Address - Fax:603-668-1875
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist