Provider Demographics
NPI:1508016452
Name:YASWINSKI, PAULETTE MARIE (DMD)
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:MARIE
Last Name:YASWINSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E. 4TH ST.
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1881
Mailing Address - Country:US
Mailing Address - Phone:610-866-8501
Mailing Address - Fax:610-866-8504
Practice Address - Street 1:416 E. 4TH ST.
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1881
Practice Address - Country:US
Practice Address - Phone:610-866-8501
Practice Address - Fax:610-866-8504
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026453L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist