Provider Demographics
NPI:1174638191
Name:HOWARD L. PASEKOFF D.M.D., P.A.
Entity Type:Organization
Organization Name:HOWARD L. PASEKOFF D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PASEKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-487-0595
Mailing Address - Street 1:3185 ST. JAMES DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434
Mailing Address - Country:US
Mailing Address - Phone:561-487-0595
Mailing Address - Fax:561-483-6410
Practice Address - Street 1:3185 ST JAMES DRIVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434
Practice Address - Country:US
Practice Address - Phone:561-487-0595
Practice Address - Fax:561-483-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60991223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty