Provider Demographics
NPI:1972729655
Name:MEDYNSKI, DENIELLE C (DMD)
Entity type:Individual
Prefix:DR
First Name:DENIELLE
Middle Name:C
Last Name:MEDYNSKI
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 1:299 WINDSOR HWY
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6909
Mailing Address - Country:US
Mailing Address - Phone:845-565-3450
Mailing Address - Fax:
Practice Address - Street 1:1399 YGNACIO VALLEY RD STE 2
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2830
Practice Address - Country:US
Practice Address - Phone:707-225-7338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050983122300000X
CA62093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist