Provider Demographics
NPI:1053433409
Name:CENK, DAVID ALLAN (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLAN
Last Name:CENK
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 1:824 E REDD RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7262
Mailing Address - Country:US
Mailing Address - Phone:915-833-3484
Mailing Address - Fax:915-833-8048
Practice Address - Street 1:824 E REDD RD STE 1B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7262
Practice Address - Country:US
Practice Address - Phone:915-833-3484
Practice Address - Fax:915-833-8048
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice