MEDICARE: DAVID FRANK PASCOE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	032590	NY

General Provider Information

NPI Number	:	1568452639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID FRANK PASCOE DDS

Provider Business Mailing Address
First Line	:	PO BOX 1198
Second Line	:
City	:	SOUTHOLD
State	:	NY
Zip	:	11971-0934
Country	:	US
Telephone Number	:	631-765-1919
Fax Number	:	631-614-7852

Provider Business Practice Location Address
First Line	:	51100 MAIN RD
Second Line	:
City	:	SOUTHOLD
State	:	NY
Zip	:	11971-4655
Country	:	US
Telephone Number	:	631-765-1919
Fax Number	:	631-614-7852

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	08/07/2014

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