Provider Demographics
NPI:1609820141
Name:PASEKOFF, HOWARD L (DMD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:L
Last Name:PASEKOFF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3185 SAINT JAMES DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3372
Mailing Address - Country:US
Mailing Address - Phone:561-487-0595
Mailing Address - Fax:561-483-6410
Practice Address - Street 1:3185 SAINT JAMES DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3372
Practice Address - Country:US
Practice Address - Phone:561-487-0595
Practice Address - Fax:561-483-6410
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL60991223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics