National Provider Identifier

Jacqueline Marie Snider Pawelek, DDS

Jacqueline Marie Snider Pawelek, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 225-9000.

NPI 1518027101Rochester, NYPediatric Dentistry

Profile Overview

NPI
1518027101
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
December 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 2061 Ridge RD West
  • Rochester, NY 14626

Phone: (585) 225-9000

Mailing Address

  • 84 Chadwick Manor
  • Fairport, NY 14450

Specialties

  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1518027101
Entity Type
Individual
Last Name
Snider Pawelek
First Name
Jacqueline
Middle Name
Marie
Name Prefix
Mrs.
Credential
DDS
Provider Other Last Name
Snider
Provider Other First Name
Jacqueline
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
DDS
Provider Other Last Name Type Code
1
Mailing Street Address
84 Chadwick Manor
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(585) 425-8708
Practice Street Address
2061 Ridge RD West
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626
Practice Country
US
Practice Phone
(585) 225-9000
Practice Fax
(585) 225-6312
Enumeration Date
December 12, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)