Provider Demographics
NPI:1407096159
Name:MAX ZASLAVSKY DMD PA
Entity type:Organization
Organization Name:MAX ZASLAVSKY DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:ZASLAVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-491-3544
Mailing Address - Street 1:3400 NE 12TH AVE
Mailing Address - Street 2:STE B
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334
Mailing Address - Country:US
Mailing Address - Phone:954-491-3544
Mailing Address - Fax:954-491-3562
Practice Address - Street 1:3400 NE 12TH AVE
Practice Address - Street 2:STE B
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334
Practice Address - Country:US
Practice Address - Phone:954-491-3544
Practice Address - Fax:954-491-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty