Provider Demographics
NPI:1326126723
Name:ZUCH, JASON ROY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:ROY
Last Name:ZUCH
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5533 E BELL RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1256
Mailing Address - Country:US
Mailing Address - Phone:602-889-8666
Mailing Address - Fax:602-889-8667
Practice Address - Street 1:5533 E BELL RD
Practice Address - Street 2:SUITE 114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1256
Practice Address - Country:US
Practice Address - Phone:602-889-8666
Practice Address - Fax:602-889-8667
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD55331223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics