Provider Demographics
NPI:1235871302
Name:BIERNACKI, ISABEL (DMD)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:BIERNACKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 ELM ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-584-7773
Mailing Address - Fax:413-584-0684
Practice Address - Street 1:NORTHAMPTON PEDIATRIC DENTISTRY DBA- TREEHOUSE PEDIATRI
Practice Address - Street 2:264 ELM ST SUITE 5
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-584-7773
Practice Address - Fax:413-584-0684
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-10
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MADN100000271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program