Provider Demographics
NPI:1225458391
Name:ZARBANO, LEVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEVI
Middle Name:
Last Name:ZARBANO
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 1:2550 UNIVERSITY AVE W STE 115N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1097
Mailing Address - Country:US
Mailing Address - Phone:651-645-6429
Mailing Address - Fax:651-645-8326
Practice Address - Street 1:2550 UNIVERSITY AVE W STE 115N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1097
Practice Address - Country:US
Practice Address - Phone:651-645-6429
Practice Address - Fax:651-645-8326
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND136521223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery