Provider Demographics
NPI:1508081480
Name:PAWELEK AND SNIDER-PAWELEK, DDS, PLLC
Entity Type:Organization
Organization Name:PAWELEK AND SNIDER-PAWELEK, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:ZBIGNIEW
Authorized Official - Last Name:PAWELEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-225-9000
Mailing Address - Street 1:2061 RIDGE RD W
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2718
Mailing Address - Country:US
Mailing Address - Phone:585-225-9000
Mailing Address - Fax:
Practice Address - Street 1:2061 RIDGE RD W
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2718
Practice Address - Country:US
Practice Address - Phone:585-225-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0453141223G0001X
NY04588611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty