Provider Demographics
NPI:1639385396
Name:SCZECHOWSKI, DENNIS STANLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:STANLEY
Last Name:SCZECHOWSKI
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 1:25630 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1836
Mailing Address - Country:US
Mailing Address - Phone:586-758-5514
Mailing Address - Fax:
Practice Address - Street 1:25630 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1836
Practice Address - Country:US
Practice Address - Phone:586-758-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901014580122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist