Provider Demographics
NPI:1558413310
Name:PAWLOWICZ DENTISTRY LTD
Entity type:Organization
Organization Name:PAWLOWICZ DENTISTRY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAWLOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-287-4000
Mailing Address - Street 1:516 HANSEN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDORA
Mailing Address - State:PA
Mailing Address - Zip Code:16045-1366
Mailing Address - Country:US
Mailing Address - Phone:724-287-4000
Mailing Address - Fax:724-287-4088
Practice Address - Street 1:516 HANSEN AVE
Practice Address - Street 2:
Practice Address - City:LYNDORA
Practice Address - State:PA
Practice Address - Zip Code:16045-1366
Practice Address - Country:US
Practice Address - Phone:724-287-4000
Practice Address - Fax:724-287-4088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-015794-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty