Provider Demographics
NPI:1912232653
Name:PLOTNICK, JENNIFER NURIT (DMD)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:NURIT
Last Name:PLOTNICK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 CARROLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5214
Mailing Address - Country:US
Mailing Address - Phone:917-257-9006
Mailing Address - Fax:
Practice Address - Street 1:55 CORNELIA ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1853
Practice Address - Country:US
Practice Address - Phone:518-563-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0544731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice