Provider Demographics
NPI:1508910605
Name:ZELEZNIK, DONALD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:ZELEZNIK
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 1:8589 TRAIL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7992
Mailing Address - Country:US
Mailing Address - Phone:740-917-5669
Mailing Address - Fax:
Practice Address - Street 1:3844 HARD RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8025
Practice Address - Country:US
Practice Address - Phone:614-734-9261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist