Provider Demographics
NPI:1720059546
Name:SCESNY, JANET A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:A
Last Name:SCESNY
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 1:13703 NORTHLINE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1866
Mailing Address - Country:US
Mailing Address - Phone:734-284-8088
Mailing Address - Fax:734-284-0522
Practice Address - Street 1:13703 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1866
Practice Address - Country:US
Practice Address - Phone:734-284-8088
Practice Address - Fax:734-284-0522
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14283122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist