Provider Demographics
NPI:1710693916
Name:GENERATIONS DENTISTRY PLLC
Entity Type:Organization
Organization Name:GENERATIONS DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:813-251-5740
Mailing Address - Street 1:2333 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1718
Mailing Address - Country:US
Mailing Address - Phone:813-251-5740
Mailing Address - Fax:813-251-5748
Practice Address - Street 1:2333 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1718
Practice Address - Country:US
Practice Address - Phone:813-251-5740
Practice Address - Fax:813-251-5748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty