Provider Demographics
NPI:1568654119
Name:JESENSKY, DANIELLE J (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:J
Last Name:JESENSKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:DRUCKEMILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1 FORSYTHE RD
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1119
Mailing Address - Country:US
Mailing Address - Phone:412-221-9552
Mailing Address - Fax:412-319-7907
Practice Address - Street 1:1 FORSYTHE RD
Practice Address - Street 2:
Practice Address - City:PRESTO
Practice Address - State:PA
Practice Address - Zip Code:15142-1119
Practice Address - Country:US
Practice Address - Phone:412-221-9552
Practice Address - Fax:412-319-7907
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0370431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice