MEDICARE: DAVID C. SLAWISNKI DDS, PA

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	1223P0221X	Pediatric Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447526389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID C. SLAWISNKI DDS, PA

Provider Business Mailing Address
First Line	:	5041 SIX FORKS RD STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4494
Country	:	US
Telephone Number	:	919-803-1595
Fax Number	:	919-803-8363

Provider Business Practice Location Address
First Line	:	5041 SIX FORKS RD STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4494
Country	:	US
Telephone Number	:	919-803-1595
Fax Number	:	919-803-8363

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID SLAWINSKI
Credential	:
Telephone Number	:	919-803-1595

Provider Enumeration Date	:	03/26/2012
Last Update Date	:	03/26/2012

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