Provider Demographics
NPI:1003083585
Name:MASCHERIN, TONI KAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:KAY
Last Name:MASCHERIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1398 KILDAIRE FARM RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5567
Mailing Address - Country:US
Mailing Address - Phone:919-481-2220
Mailing Address - Fax:919-481-2227
Practice Address - Street 1:1398 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5567
Practice Address - Country:US
Practice Address - Phone:919-481-2220
Practice Address - Fax:919-481-2227
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist