Provider Demographics
NPI:1689886954
Name:OLSZEWSKI, THOMAS HENRYK (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HENRYK
Last Name:OLSZEWSKI
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:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-0069
Mailing Address - Country:US
Mailing Address - Phone:419-332-7949
Mailing Address - Fax:419-332-7949
Practice Address - Street 1:925 NAPOLEON ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2323
Practice Address - Country:US
Practice Address - Phone:419-332-7949
Practice Address - Fax:419-332-7949
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300154971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice