Provider Demographics
NPI:1821417817
Name:QUINTON, DAVID TODD (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:TODD
Last Name:QUINTON
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 1:510 E 23RD ST APT 11D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5014
Mailing Address - Country:US
Mailing Address - Phone:917-439-9379
Mailing Address - Fax:
Practice Address - Street 1:510 E 23RD ST APT 11D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5014
Practice Address - Country:US
Practice Address - Phone:917-439-9379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN185647B1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice