Provider Demographics
NPI:1437352507
Name:SZYDLOWSKI, JULIE H (DDS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:H
Last Name:SZYDLOWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:H
Other - Last Name:STIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7426 FOX HILL LN
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8814
Mailing Address - Country:US
Mailing Address - Phone:715-212-4074
Mailing Address - Fax:
Practice Address - Street 1:7426 FOX HILL LN
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-8814
Practice Address - Country:US
Practice Address - Phone:715-212-4074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010193141223G0001X, 122300000X, 1223P0221X
WI6207-0151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist