Provider Demographics
NPI:1972586139
Name:DEMBSKI, DAVID M (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:DEMBSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3237 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1312
Mailing Address - Country:US
Mailing Address - Phone:740-450-3400
Mailing Address - Fax:740-450-3420
Practice Address - Street 1:3237 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1312
Practice Address - Country:US
Practice Address - Phone:740-450-3400
Practice Address - Fax:740-450-3420
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI060916207RN0300X
OH3589360D207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2745346Medicaid
MI4759480Medicaid
MI381358036011OtherTRICARE
MIP00288286OtherRAILROAD MEDICARE
MI381358036011OtherTRICARE
OH2745346Medicaid
MIP00288286OtherRAILROAD MEDICARE
MI4759480Medicaid