Provider Demographics
NPI:1528065497
Name:PLISZCZAK, JANICE KATHRYN (DDS)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:KATHRYN
Last Name:PLISZCZAK
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 1:4525 W SENECA TPKE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-9785
Mailing Address - Country:US
Mailing Address - Phone:315-469-3229
Mailing Address - Fax:315-469-4916
Practice Address - Street 1:4525 W SENECA TPKE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-9785
Practice Address - Country:US
Practice Address - Phone:315-469-3229
Practice Address - Fax:315-469-4916
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYD43169122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist