Provider Demographics
NPI:1134236987
Name:PIONTKOWSKI, PAUL K (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:K
Last Name:PIONTKOWSKI
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 1:6420 BOCK RD
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745
Mailing Address - Country:US
Mailing Address - Phone:301-839-0055
Mailing Address - Fax:301-747-2350
Practice Address - Street 1:6420 BOCK RD
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745
Practice Address - Country:US
Practice Address - Phone:301-839-0055
Practice Address - Fax:301-747-2350
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD93051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice