Provider Demographics
NPI:1386721942
Name:ULIASZ, PAUL HENRY (DDS)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:HENRY
Last Name:ULIASZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13942 GLENRIO DR
Mailing Address - Street 2:
Mailing Address - City:STEALING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313
Mailing Address - Country:US
Mailing Address - Phone:313-598-3849
Mailing Address - Fax:
Practice Address - Street 1:5950 AIRPORT HIGHWAY SUITE 10
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615
Practice Address - Country:US
Practice Address - Phone:419-867-9553
Practice Address - Fax:419-867-6996
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI18911122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist