Provider Demographics
NPI:1073965778
Name:ZSAMBEKY, CHANEY & ASSOCIATES KANNAPOLIS PA
Entity Type:Organization
Organization Name:ZSAMBEKY, CHANEY & ASSOCIATES KANNAPOLIS PA
Other - Org Name:SMILE KANNAPOLIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZSAMBEKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-782-2214
Mailing Address - Street 1:220 BRANCHVIEW DR SE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3577
Mailing Address - Country:US
Mailing Address - Phone:704-782-2214
Mailing Address - Fax:
Practice Address - Street 1:1843 S RIDGE AVE
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6149
Practice Address - Country:US
Practice Address - Phone:704-938-8523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC91711223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty