Provider Demographics
NPI:1689693491
Name:PIECZYNSKI, DENISE M (DMD, PA)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:M
Last Name:PIECZYNSKI
Suffix:
Gender:F
Credentials:DMD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 20TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3565
Mailing Address - Country:US
Mailing Address - Phone:772-567-7889
Mailing Address - Fax:772-569-6313
Practice Address - Street 1:1625 20TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3565
Practice Address - Country:US
Practice Address - Phone:772-567-7889
Practice Address - Fax:772-569-6313
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN126371223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics