Provider Demographics
NPI:1164537403
Name:ZANDSTRA, ESTELLE F (DDS)
Entity Type:Individual
Prefix:DR
First Name:ESTELLE
Middle Name:F
Last Name:ZANDSTRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400-C OLD MILTON PARKWAY
Mailing Address - Street 2:SUITE 370
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-410-4999
Mailing Address - Fax:770-410-9125
Practice Address - Street 1:3400-C OLD MILTON PARKWAY
Practice Address - Street 2:SUITE 370
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-410-4999
Practice Address - Fax:770-410-9125
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0116651223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics