Provider Demographics
NPI:1306198726
Name:L. ZINGERMAN, D.D.S., P.C.
Entity Type:Organization
Organization Name:L. ZINGERMAN, D.D.S., P.C.
Other - Org Name:NILES FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-663-1040
Mailing Address - Street 1:7313 N HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-4252
Mailing Address - Country:US
Mailing Address - Phone:847-663-1040
Mailing Address - Fax:847-663-1042
Practice Address - Street 1:7313 N HARLEM AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-4252
Practice Address - Country:US
Practice Address - Phone:847-663-1040
Practice Address - Fax:847-663-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty