DR. Jason L Stanczyk, D.M.D., M.S.

NPI #1013127752 in Swansea, Illinois

Provider Information

NPI Number: 1013127752
Entity Type: Individual
Name: DR. Jason L Stanczyk, D.M.D., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.M.D., M.S.
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11 PARK PL
City: Swansea
State: Illinois
ZIP Code: 62226-2925
Phone: (618) 233-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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