Provider Demographics
NPI:1528953437
Name:GHOMASHCHI, NIKI (DMD)
Entity type:Individual
Prefix:DR
First Name:NIKI
Middle Name:
Last Name:GHOMASHCHI
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 1:2065 FINCH AVE W
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TORONTO
Mailing Address - State:ON
Mailing Address - Zip Code:M3N 2V7
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10955 CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-1997
Practice Address - Country:US
Practice Address - Phone:813-502-0346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30420122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist