Provider Demographics
NPI:1063776631
Name:VANSCHAICK, JAYNE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:MARIE
Last Name:VANSCHAICK
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 1:39 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-2023
Mailing Address - Country:US
Mailing Address - Phone:518-747-4477
Mailing Address - Fax:
Practice Address - Street 1:39 MAPLE ST
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-2023
Practice Address - Country:US
Practice Address - Phone:518-747-4477
Practice Address - Fax:518-747-4477
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0566191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice