Provider Demographics
NPI:1184727133
Name:DENNIS G. PIONTEK D.M.D.,PSC
Entity type:Organization
Organization Name:DENNIS G. PIONTEK D.M.D.,PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:PIONTEK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-587-6131
Mailing Address - Street 1:SUITE 950-C STARKS BLDG
Mailing Address - Street 2:455 SOUTH.4TH ST
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2511
Mailing Address - Country:US
Mailing Address - Phone:502-587-6131
Mailing Address - Fax:502-587-9964
Practice Address - Street 1:455SOUTH 4TH ST
Practice Address - Street 2:SUITE 950-C STARKS BLDG
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2511
Practice Address - Country:US
Practice Address - Phone:502-587-6131
Practice Address - Fax:502-587-9964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4395122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty