Provider Demographics
NPI:1437271053
Name:ZELAZNY, DONALD J (DDS)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:J
Last Name:ZELAZNY
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 1:208 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:OSCODA
Mailing Address - State:MI
Mailing Address - Zip Code:48750-1635
Mailing Address - Country:US
Mailing Address - Phone:989-739-7927
Mailing Address - Fax:989-358-3754
Practice Address - Street 1:3036 FRENCH RD
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-8141
Practice Address - Country:US
Practice Address - Phone:989-358-3946
Practice Address - Fax:989-358-3724
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0147591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice