Provider Demographics
NPI:1821013269
Name:ROSHKIND, DAVID MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:ROSHKIND
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 1:2480 PRESIDENTIAL WAY APT 901
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-1356
Mailing Address - Country:US
Mailing Address - Phone:561-386-4639
Mailing Address - Fax:
Practice Address - Street 1:5520 PGA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3981
Practice Address - Country:US
Practice Address - Phone:561-776-6177
Practice Address - Fax:561-776-3745
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 74071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice