Provider Demographics
NPI:1073255642
Name:FURIMSKY, TROY DAVID (DDS)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:DAVID
Last Name:FURIMSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 W ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5500
Mailing Address - Country:US
Mailing Address - Phone:252-751-9855
Mailing Address - Fax:252-751-9856
Practice Address - Street 1:1310 W ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5500
Practice Address - Country:US
Practice Address - Phone:252-751-9855
Practice Address - Fax:252-751-9856
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC128481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program