Provider Demographics
NPI:1205956695
Name:ZIELINSKI, HENRY J JR (DDS)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:J
Last Name:ZIELINSKI
Suffix:JR
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 1:571 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1439
Mailing Address - Country:US
Mailing Address - Phone:570-822-7312
Mailing Address - Fax:570-283-6361
Practice Address - Street 1:571 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1439
Practice Address - Country:US
Practice Address - Phone:570-822-7312
Practice Address - Fax:570-283-6361
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018307L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice