Provider Demographics
NPI:1689765026
Name:NOZYNSKI, PAUL F (DDS,PC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:F
Last Name:NOZYNSKI
Suffix:
Gender:M
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7112 E GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1261
Mailing Address - Country:US
Mailing Address - Phone:315-637-2100
Mailing Address - Fax:315-637-2748
Practice Address - Street 1:7112 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066-1261
Practice Address - Country:US
Practice Address - Phone:315-637-2100
Practice Address - Fax:315-637-2748
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist