Provider Demographics
NPI:1154491090
Name:ZUFFANTE, JOSEPH T (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:ZUFFANTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 GOLF ROAD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016
Mailing Address - Country:US
Mailing Address - Phone:847-635-8700
Mailing Address - Fax:847-635-8779
Practice Address - Street 1:1400 GOLF ROAD
Practice Address - Street 2:SUITE 226
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:847-635-8700
Practice Address - Fax:847-635-8779
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A12830122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A23705158OtherDEA