Provider Demographics
NPI:1588759237
Name:GRZEJKA, FRANCIS ROY (DMD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ROY
Last Name:GRZEJKA
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 1:60 EAST ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4500
Mailing Address - Country:US
Mailing Address - Phone:978-687-2224
Mailing Address - Fax:978-683-2191
Practice Address - Street 1:60 EAST ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4500
Practice Address - Country:US
Practice Address - Phone:978-687-2224
Practice Address - Fax:978-683-2191
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160541223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX20029Medicare ID - Type Unspecified
X20029Medicare UPIN