Provider Demographics
NPI:1124179734
Name:ZAMIKHOVSKY, MIKHAIL (DDS)
Entity Type:Individual
Prefix:MR
First Name:MIKHAIL
Middle Name:
Last Name:ZAMIKHOVSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:ZAMIKHOVSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:688 SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069
Mailing Address - Country:US
Mailing Address - Phone:908-754-6444
Mailing Address - Fax:908-754-3149
Practice Address - Street 1:688 SOMERSET ST
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069
Practice Address - Country:US
Practice Address - Phone:908-754-6444
Practice Address - Fax:908-754-3149
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1019163021223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics