Provider Demographics
NPI:1285860189
Name:MEI, ZHUOZHAO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZHUOZHAO
Middle Name:
Last Name:MEI
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 1:11514 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1915
Mailing Address - Country:US
Mailing Address - Phone:240-308-2470
Mailing Address - Fax:
Practice Address - Street 1:11514 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-1915
Practice Address - Country:US
Practice Address - Phone:240-308-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD144951223G0001X
DCDEN10012291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024905300Medicaid
MD14495OtherSTATE LICENSE
MD119591300Medicaid
MDS118Medicare PIN