Provider Demographics
NPI:1649494832
Name:DARYL E. ASKELAND D.M.D.,P.A.
Entity type:Organization
Organization Name:DARYL E. ASKELAND D.M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:ASKELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,PA
Authorized Official - Phone:321-773-2333
Mailing Address - Street 1:2000 S PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4462
Mailing Address - Country:US
Mailing Address - Phone:321-773-2333
Mailing Address - Fax:321-773-2338
Practice Address - Street 1:2000 S PATRICK DR
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4462
Practice Address - Country:US
Practice Address - Phone:321-773-2333
Practice Address - Fax:321-773-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 145221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
967273OtherUNITED CONCORDIA