Provider Demographics
NPI:1770731879
Name:SZESZKO, DENNIS RONALD (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RONALD
Last Name:SZESZKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13907 MONTFORT DR
Mailing Address - Street 2:UNIT #433
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4320
Mailing Address - Country:US
Mailing Address - Phone:972-788-4008
Mailing Address - Fax:
Practice Address - Street 1:13907 MONTFORT DR.
Practice Address - Street 2:UNIT # 433
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4320
Practice Address - Country:US
Practice Address - Phone:972-788-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2040207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine