1427150655 NPI number — DR. JOSEPH LAWRENCE DULSKI DDS

Table of content: DR. JOSEPH LAWRENCE DULSKI DDS (NPI 1427150655)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427150655 NPI number — DR. JOSEPH LAWRENCE DULSKI DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DULSKI
Provider First Name:
JOSEPH
Provider Middle Name:
LAWRENCE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DULSKI
Provider Other First Name:
JOSEPH
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1427150655
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1815 S CLINTON AVE
Provider Second Line Business Mailing Address:
STE 345
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14618
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-442-1230
Provider Business Mailing Address Fax Number:
585-442-3827

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1815 S CLINTON AVE
Provider Second Line Business Practice Location Address:
STE 345
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-442-1230
Provider Business Practice Location Address Fax Number:
585-442-3827
Provider Enumeration Date:
09/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  35054 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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