Healthcare Provider Details

I. General information

NPI: 1134634967
Provider Name (Legal Business Name): DANIEL ABRAHAM SHIMANSKY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5443 W ATLANTIC BLVD
MARGATE FL
33063-5210
US

IV. Provider business mailing address

5268 DEAUVILLE CIR
BOCA RATON FL
33496-2454
US

V. Phone/Fax

Practice location:
  • Phone: 561-903-2568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN23092
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: