# JACQUELINE SZCZUPAKOWSKI DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maple G, Maple Glen Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033764741
- **Authorized official:** DR. JACQUELINE MARIE SZCZUPAKOWSKI DDS (DENTIST)
- **Authorized official phone:** (716) 913-4274

## Contact information

- **Practice address:** 9736 TRANSIT RD, EAST AMHERST, NY 14051-1311
- **Practice address phone:** (716) 688-5717
- **Mailing address:** 9736 TRANSIT RD, EAST AMHERST, NY 14051-1311
- **Mailing address phone:** (716) 688-5717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2019
- **Last updated:** 08/08/2019