Provider Demographics
NPI:1215389093
Name:KAPOTES, ZACHARY ALEXANDER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ALEXANDER
Last Name:KAPOTES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 GRAMERCY PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-2226
Mailing Address - Country:US
Mailing Address - Phone:201-247-9267
Mailing Address - Fax:
Practice Address - Street 1:138 PINE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4947
Practice Address - Country:US
Practice Address - Phone:845-338-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027995001223G0001X
PADS0409111223G0001X
NY0611151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice