Provider Demographics
NPI:1245493998
Name:MIGINSKY, ELAINE MARY (DDS)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:MARY
Last Name:MIGINSKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E PADONIA RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2520
Mailing Address - Country:US
Mailing Address - Phone:410-252-3136
Mailing Address - Fax:
Practice Address - Street 1:106 E PADONIA RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2520
Practice Address - Country:US
Practice Address - Phone:410-252-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD48351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice