Provider Demographics
NPI:1558445023
Name:TUMAN, JONATHAN MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:MICHAEL
Last Name:TUMAN
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 1:1111 KANE CONCOURSE
Mailing Address - Street 2:#515
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2029
Mailing Address - Country:US
Mailing Address - Phone:305-865-7166
Mailing Address - Fax:305-861-7870
Practice Address - Street 1:1111 KANE CONCOURSE
Practice Address - Street 2:#515
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2029
Practice Address - Country:US
Practice Address - Phone:305-865-7166
Practice Address - Fax:305-861-7870
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN128061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice