Provider Demographics
NPI:1265450613
Name:ZAMAITIS, EDWARD S (DMD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:S
Last Name:ZAMAITIS
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 1:18 CENTRAL SQUARE
Mailing Address - Street 2:
Mailing Address - City:W BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379
Mailing Address - Country:US
Mailing Address - Phone:508-583-1883
Mailing Address - Fax:508-583-1883
Practice Address - Street 1:18 CENTRAL SQUARE
Practice Address - Street 2:DR EDWARD ZAMAITIS
Practice Address - City:W BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379
Practice Address - Country:US
Practice Address - Phone:508-583-1883
Practice Address - Fax:508-583-1883
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA139381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice