Provider Demographics
NPI:1114564622
Name:ROBERT P ZERNICKE DDS INC
Entity Type:Organization
Organization Name:ROBERT P ZERNICKE DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-444-3363
Mailing Address - Street 1:160 HARDEN PKWY STE 102160
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-5285
Mailing Address - Country:US
Mailing Address - Phone:831-443-3633
Mailing Address - Fax:831-443-9442
Practice Address - Street 1:160 HARDEN PKWY STE 102160
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-5285
Practice Address - Country:US
Practice Address - Phone:831-443-3633
Practice Address - Fax:831-443-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental