Provider Demographics
NPI:1013292945
Name:HARVEY MOSKOWITZ DMD,PA
Entity Type:Organization
Organization Name:HARVEY MOSKOWITZ DMD,PA
Other - Org Name:HARVEY MOSKOWITZ DMD,PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,PA
Authorized Official - Phone:954-726-3200
Mailing Address - Street 1:6209 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE#6
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2335
Mailing Address - Country:US
Mailing Address - Phone:954-726-3200
Mailing Address - Fax:954-726-0372
Practice Address - Street 1:6209 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE#6
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-2335
Practice Address - Country:US
Practice Address - Phone:954-726-3200
Practice Address - Fax:954-726-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL87311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty