Provider Demographics
NPI:1235220260
Name:ZSEMBIK, RONALD ANDERSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ANDERSON
Last Name:ZSEMBIK
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 1:302 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:PA
Mailing Address - Zip Code:15627-1220
Mailing Address - Country:US
Mailing Address - Phone:724-694-2020
Mailing Address - Fax:
Practice Address - Street 1:302 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:PA
Practice Address - Zip Code:15627-1220
Practice Address - Country:US
Practice Address - Phone:724-694-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS18230L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS18230LOtherSTATE LICENSE #