Provider Demographics
NPI:1689921710
Name:THURBER, DAVID BADI (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BADI
Last Name:THURBER
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 1:710 DUNCAN AVE APT 1412
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5063
Mailing Address - Country:US
Mailing Address - Phone:954-483-1918
Mailing Address - Fax:
Practice Address - Street 1:3425 ERIE BLVD E
Practice Address - Street 2:ASPEN DENTAL
Practice Address - City:DE WITT
Practice Address - State:NY
Practice Address - Zip Code:13214-1635
Practice Address - Country:US
Practice Address - Phone:954-483-1918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0560821223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery