Provider Demographics
NPI:1801930581
Name:TURESKY, JON DAVID (DMD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:DAVID
Last Name:TURESKY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 WALPOLE STREET
Mailing Address - Street 2:DR JON D TURESKY DMD
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-762-7077
Mailing Address - Fax:781-762-4398
Practice Address - Street 1:1 WALPOLE STREET
Practice Address - Street 2:DR JON D TURESKY DMD
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-762-7077
Practice Address - Fax:781-762-4398
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA144631223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T57267Medicare UPIN