Provider Demographics
NPI:1225251457
Name:ZAMPIERI, MICHAEL GUILIO
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GUILIO
Last Name:ZAMPIERI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HORIZON RD
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6743
Mailing Address - Country:US
Mailing Address - Phone:201-944-1027
Mailing Address - Fax:201-944-1645
Practice Address - Street 1:1396 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5209
Practice Address - Country:US
Practice Address - Phone:201-944-1027
Practice Address - Fax:201-944-1645
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1022647001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice