Provider Demographics
NPI:1972221679
Name:JOHN F JAMNIK D.D.S.,P.C
Entity Type:Organization
Organization Name:JOHN F JAMNIK D.D.S.,P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:JAMNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-682-0922
Mailing Address - Street 1:2711 ORCHARD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1446
Mailing Address - Country:US
Mailing Address - Phone:248-682-0922
Mailing Address - Fax:248-682-0940
Practice Address - Street 1:2711 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1446
Practice Address - Country:US
Practice Address - Phone:248-682-0922
Practice Address - Fax:248-682-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty