Provider Demographics
NPI:1043619299
Name:SADIK-YOSIF, ZENA (DMD)
Entity Type:Individual
Prefix:
First Name:ZENA
Middle Name:
Last Name:SADIK-YOSIF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9950 JONES BRIDGE RD STE 700
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6577
Mailing Address - Country:US
Mailing Address - Phone:678-366-1000
Mailing Address - Fax:
Practice Address - Street 1:9950 JONES BRIDGE RD STE 700
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-6577
Practice Address - Country:US
Practice Address - Phone:678-366-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-13
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015092122300000X
PADS0400711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice