Provider Demographics
NPI:1427479989
Name:MICHAEL F. KRYNIK DDS PLLC
Entity type:Organization
Organization Name:MICHAEL F. KRYNIK DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:KRYNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-427-5170
Mailing Address - Street 1:515 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-2637
Mailing Address - Country:US
Mailing Address - Phone:281-427-5170
Mailing Address - Fax:281-422-1551
Practice Address - Street 1:515 PARK ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-2637
Practice Address - Country:US
Practice Address - Phone:281-427-5170
Practice Address - Fax:281-422-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty