Provider Demographics
NPI:1104033232
Name:SLAWINSKI, DAVID C (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:SLAWINSKI
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 1:5041 SIX FORKS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4493
Mailing Address - Country:US
Mailing Address - Phone:919-803-1595
Mailing Address - Fax:919-803-8363
Practice Address - Street 1:5041 SIX FORKS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4493
Practice Address - Country:US
Practice Address - Phone:919-803-1595
Practice Address - Fax:919-803-8363
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC85521223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry