Provider Demographics
NPI:1528071016
Name:PINANSKY, I VICTOR (DMD)
Entity type:Individual
Prefix:DR
First Name:I
Middle Name:VICTOR
Last Name:PINANSKY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WINDINGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4776
Mailing Address - Country:US
Mailing Address - Phone:978-263-8876
Mailing Address - Fax:978-929-9187
Practice Address - Street 1:12 WINDINGWOOD LN
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4776
Practice Address - Country:US
Practice Address - Phone:978-263-8876
Practice Address - Fax:978-929-9187
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA120551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice