Provider Demographics
NPI:1013034289
Name:ZEITLIN, DAVID ADAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ADAM
Last Name:ZEITLIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14707 CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7327
Mailing Address - Country:US
Mailing Address - Phone:516-712-4388
Mailing Address - Fax:
Practice Address - Street 1:9122 W 88TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1540
Practice Address - Country:US
Practice Address - Phone:303-422-0836
Practice Address - Fax:303-423-1322
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0530731223G0001X
CO96431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice