Provider Demographics
NPI:1023207388
Name:JOSEPH JETT F. ZAPANTA, DDS.INC
Entity Type:Organization
Organization Name:JOSEPH JETT F. ZAPANTA, DDS.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH JETT
Authorized Official - Middle Name:FERNANDEZ
Authorized Official - Last Name:ZAPANTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:323-660-4926
Mailing Address - Street 1:5175 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5715
Mailing Address - Country:US
Mailing Address - Phone:323-660-4926
Mailing Address - Fax:
Practice Address - Street 1:5175 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5715
Practice Address - Country:US
Practice Address - Phone:323-660-4926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35048122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB35048-01OtherDENTICAL