Provider Demographics
NPI:1134142441
Name:ZOTIS, LITSA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LITSA
Middle Name:MARIE
Last Name:ZOTIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:LITSA
Other - Middle Name:MARIE
Other - Last Name:ZOTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:125 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3308
Mailing Address - Country:US
Mailing Address - Phone:412-338-0678
Mailing Address - Fax:412-338-0708
Practice Address - Street 1:125 6TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3308
Practice Address - Country:US
Practice Address - Phone:412-338-0678
Practice Address - Fax:412-338-0708
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029393-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251876972OtherTAX ID