Healthcare Provider Details

I. General information

NPI: 1023871944
Provider Name (Legal Business Name): TOMASHESKI AND TOMASHESKI DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 PERRY RD
APEX NC
27502
US

IV. Provider business mailing address

1586 TICE HURST LN
APEX NC
27502-6500
US

V. Phone/Fax

Practice location:
  • Phone: 919-260-4086
  • Fax:
Mailing address:
  • Phone: 919-260-4086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KIMBERLY TOMASHESKI
Title or Position: MEMBER
Credential: DDS
Phone: 919-260-4086