Provider Demographics
NPI:1033558382
Name:ZUPNIK, DENA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENA
Middle Name:MARIE
Last Name:ZUPNIK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1606
Mailing Address - Country:US
Mailing Address - Phone:954-584-6842
Mailing Address - Fax:
Practice Address - Street 1:8221 GLADES RD STE 4
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4021
Practice Address - Country:US
Practice Address - Phone:561-883-2786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 21418122300000X
MI2901020958122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist