Provider Demographics
NPI:1043855703
Name:LONGVIEW FAMILY AND EMERGANCY DENTAL CARE PLLC
Entity Type:Organization
Organization Name:LONGVIEW FAMILY AND EMERGANCY DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-582-2272
Mailing Address - Street 1:2840 BILL OWENS PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-2150
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2840 BILL OWENS PKWY STE B
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-2150
Practice Address - Country:US
Practice Address - Phone:704-582-2272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental