Provider Demographics
NPI:1740491794
Name:PHILOFSKY, DAVID TODD (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TODD
Last Name:PHILOFSKY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7785 W. ELDORADO PKWY, STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-569-8448
Mailing Address - Fax:214-206-8978
Practice Address - Street 1:7785 W. ELDORADO PKWY, STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-569-8448
Practice Address - Fax:214-206-8978
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208971223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics