Provider Demographics
NPI:1225127277
Name:KRIMSKY, PETER K (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:K
Last Name:KRIMSKY
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 1:7408 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1606
Mailing Address - Country:US
Mailing Address - Phone:954-584-6842
Mailing Address - Fax:954-581-8043
Practice Address - Street 1:7408 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1606
Practice Address - Country:US
Practice Address - Phone:954-584-6842
Practice Address - Fax:954-581-8043
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL130071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice