Provider Demographics
NPI:1750326294
Name:RESEK, TODD STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:STEVEN
Last Name:RESEK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ALLEGHENY RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1800
Mailing Address - Country:US
Mailing Address - Phone:412-828-3311
Mailing Address - Fax:412-828-2515
Practice Address - Street 1:200 ALLEGHENY RIVER BLVD
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1800
Practice Address - Country:US
Practice Address - Phone:412-828-3311
Practice Address - Fax:412-828-2512
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029006L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice