Provider Demographics
NPI:1023143161
Name:DAVID J ELASKY DDS PA
Entity type:Organization
Organization Name:DAVID J ELASKY DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELASKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-835-6000
Mailing Address - Street 1:7729 TANGLEWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2565
Mailing Address - Country:US
Mailing Address - Phone:952-941-3637
Mailing Address - Fax:952-941-3737
Practice Address - Street 1:7600 PARKLAWN STE 101
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5125
Practice Address - Country:US
Practice Address - Phone:952-835-6000
Practice Address - Fax:952-835-7679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty