Provider Demographics
NPI:1225293244
Name:TASKONAK, BURAK (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:BURAK
Middle Name:
Last Name:TASKONAK
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 N UNIVERSITY DR. #202
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5053
Mailing Address - Country:US
Mailing Address - Phone:954-227-8133
Mailing Address - Fax:954-227-8132
Practice Address - Street 1:2801 N UNIVERSITY DR
Practice Address - Street 2:SUITE 202
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5057
Practice Address - Country:US
Practice Address - Phone:954-227-8133
Practice Address - Fax:954-227-8132
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18452122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist