Provider Demographics
NPI:1598931818
Name:OLEYNIK, KENNETH FRANK (DMD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:FRANK
Last Name:OLEYNIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6055
Mailing Address - Country:US
Mailing Address - Phone:203-924-4731
Mailing Address - Fax:203-924-0516
Practice Address - Street 1:74 WOOSTER ST
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6055
Practice Address - Country:US
Practice Address - Phone:203-924-4731
Practice Address - Fax:203-924-0516
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT65091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice