Provider Demographics
NPI:1306126396
Name:PASCHAL, ASHLEY MICHELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:PASCHAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20890 HAMACA CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2716
Mailing Address - Country:US
Mailing Address - Phone:215-370-3694
Mailing Address - Fax:
Practice Address - Street 1:12683 W SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-0907
Practice Address - Country:US
Practice Address - Phone:954-846-2222
Practice Address - Fax:954-846-2288
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024787011223G0001X
NJ22DI024787001223G0001X
FLDN218371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice