Provider Demographics
NPI:1124417365
Name:ZEIK DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:ZEIK DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ZEIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:732-863-8040
Mailing Address - Street 1:33 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1470
Mailing Address - Country:US
Mailing Address - Phone:732-863-8040
Mailing Address - Fax:732-863-4742
Practice Address - Street 1:33 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1470
Practice Address - Country:US
Practice Address - Phone:732-863-8040
Practice Address - Fax:732-863-4742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24342305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization