Provider Demographics
NPI:1609637792
Name:JONATHAN TUMAN DDS PA
Entity Type:Organization
Organization Name:JONATHAN TUMAN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-865-7166
Mailing Address - Street 1:1111 KANE CONCOURSE STE 515
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2043
Mailing Address - Country:US
Mailing Address - Phone:305-865-7166
Mailing Address - Fax:
Practice Address - Street 1:1111 KANE CONCOURSE STE 515
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2043
Practice Address - Country:US
Practice Address - Phone:305-865-7166
Practice Address - Fax:305-861-7870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty