Provider Demographics
NPI:1669707154
Name:GARZSIK, CHARLES J (DMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:GARZSIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:CHARLES
Other - Middle Name:J
Other - Last Name:GARZIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:382 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2010
Mailing Address - Country:US
Mailing Address - Phone:781-659-0300
Mailing Address - Fax:
Practice Address - Street 1:382 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-2010
Practice Address - Country:US
Practice Address - Phone:781-659-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120251223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics