Provider Demographics
NPI:1013315944
Name:TASHMAN, DAVID (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:TASHMAN
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 1:4601 HENRY HUDSON PKWY W
Mailing Address - Street 2:A-11
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3800
Mailing Address - Country:US
Mailing Address - Phone:718-519-0500
Mailing Address - Fax:
Practice Address - Street 1:4601 HENRY HUDSON PKWY W
Practice Address - Street 2:A-11
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3800
Practice Address - Country:US
Practice Address - Phone:718-519-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033727122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist