National Provider Identifier
Gerald Fredrick Zelasko, DDS
Gerald Fredrick Zelasko, DDS is listed in the NPPES registry with a primary specialty of Dentist in Orchard Park, NY and a listed phone number of (716) 674-6688.
Profile Overview
- NPI
- 1366444200
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- August 11, 2005
- Last Updated
- July 08, 2007
Practice Location
- 6455 Lake Ave
- Orchard Park, NY 14127-1254
Phone: (716) 674-6688
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1366444200
- Entity Type
- Individual
- Last Name
- Zelasko
- First Name
- Gerald
- Middle Name
- Fredrick
- Credential
- DDS
- Mailing Street Address
- 6455 Lake Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1254
- Mailing Country
- US
- Mailing Phone
- (716) 674-6688
- Mailing Fax
- (716) 674-6695
- Practice Street Address
- 6455 Lake Ave
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1254
- Practice Country
- US
- Practice Phone
- (716) 674-6688
- Practice Fax
- (716) 674-6695
- Enumeration Date
- August 11, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)