Provider Demographics
NPI:1699933671
Name:JANICE L.USNICK, DMD & CRAIG W FLAHERTY, DDS PC
Entity type:Organization
Organization Name:JANICE L.USNICK, DMD & CRAIG W FLAHERTY, DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:USNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:540-298-1581
Mailing Address - Street 1:160 W SPOTSWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22827-1169
Mailing Address - Country:US
Mailing Address - Phone:540-298-1581
Mailing Address - Fax:540-298-9655
Practice Address - Street 1:160 W SPOTSWOOD AVE
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:VA
Practice Address - Zip Code:22827-1169
Practice Address - Country:US
Practice Address - Phone:540-298-1581
Practice Address - Fax:540-298-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014104051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty