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NPI Code Detail

MEDICARE: MR. JOHN CLIFFORD TOMASHESKI

MEDICARE: MR. JOHN CLIFFORD TOMASHESKI
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
11223G0001XGeneral Practice Dentistry8406NC

General Provider Information

NPI Number : 1598961690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN CLIFFORD TOMASHESKI
Provider Business Mailing Address
First Line : 3312 LAKESIDE VIEW CT
Second Line :
City : CARY
State : NC
Zip : 27513-8493
Country : US
Telephone Number : 609-876-3598
Fax Number :
Provider Business Practice Location Address
First Line : 31 OLEANDER DR
Second Line :
City : CLAYTON
State : NC
Zip : 27527-4561
Country : US
Telephone Number : 919-550-5251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 08/27/2009

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Directions to “ MR. JOHN CLIFFORD TOMASHESKI ” Practice Location

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