Provider Demographics
NPI:1225170822
Name:ZAKARIJA, JOSEPH L (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:ZAKARIJA
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 1:2730 MCFARLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-6888
Mailing Address - Country:US
Mailing Address - Phone:815-637-1700
Mailing Address - Fax:
Practice Address - Street 1:2730 MCFARLAND RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6888
Practice Address - Country:US
Practice Address - Phone:815-637-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0192001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry