Provider Demographics
NPI:1023026978
Name:ZORA, JAMES RICHARD (DMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:ZORA
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 1:555 EAST BRUCETON ROAD
Mailing Address - Street 2:
Mailing Address - City:PCH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4521
Mailing Address - Country:US
Mailing Address - Phone:412-655-1971
Mailing Address - Fax:412-655-8759
Practice Address - Street 1:555 EAST BRUCETON ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4521
Practice Address - Country:US
Practice Address - Phone:412-655-1971
Practice Address - Fax:412-655-8759
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024754L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010887100002Medicaid