Provider Demographics
NPI:1467963843
Name:RICHARD A ASSING DDS PA
Entity Type:Organization
Organization Name:RICHARD A ASSING DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-685-6139
Mailing Address - Street 1:719 W ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4921
Mailing Address - Country:US
Mailing Address - Phone:813-685-6139
Mailing Address - Fax:813-685-3579
Practice Address - Street 1:719 W ROBERTSON ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4921
Practice Address - Country:US
Practice Address - Phone:813-685-6139
Practice Address - Fax:813-685-3579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL104341223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty