Provider Demographics
NPI:1689833691
Name:KURACINA, JENNIFER A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:A
Last Name:KURACINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6435 WEBSTER RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1835
Mailing Address - Country:US
Mailing Address - Phone:716-662-7229
Mailing Address - Fax:716-662-7263
Practice Address - Street 1:6435 WEBSTER RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1835
Practice Address - Country:US
Practice Address - Phone:716-662-7229
Practice Address - Fax:716-662-7263
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0446461223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics