Provider Demographics
NPI:1962679167
Name:DAVID BITCHATCHI D.D.S., P.A.
Entity Type:Organization
Organization Name:DAVID BITCHATCHI D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BITCHITCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-963-4010
Mailing Address - Street 1:4000 SHERIDAN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3558
Mailing Address - Country:US
Mailing Address - Phone:954-963-4010
Mailing Address - Fax:954-963-4031
Practice Address - Street 1:4000 SHERIDAN ST
Practice Address - Street 2:SUITE D
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3558
Practice Address - Country:US
Practice Address - Phone:954-963-4010
Practice Address - Fax:954-963-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty