Provider Demographics
NPI:1942437199
Name:PIASCIK, ERIC GEORGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:GEORGE
Last Name:PIASCIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 GLOVER RD
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-1404
Mailing Address - Country:US
Mailing Address - Phone:978-766-4497
Mailing Address - Fax:
Practice Address - Street 1:2 GLOVER RD
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-1404
Practice Address - Country:US
Practice Address - Phone:978-766-4497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18551091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice