Provider Demographics
NPI:1033649447
Name:DR. ZENG DENTAL OFFICE, PC
Entity Type:Organization
Organization Name:DR. ZENG DENTAL OFFICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ZENG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-233-8848
Mailing Address - Street 1:2 ALLEN ST UNIT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5382
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 ALLEN ST UNIT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5382
Practice Address - Country:US
Practice Address - Phone:212-233-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty