Provider Demographics
NPI:1326174822
Name:DRS ZOUHARY & FISHER DDS INC
Entity Type:Organization
Organization Name:DRS ZOUHARY & FISHER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZOUHARY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-666-3327
Mailing Address - Street 1:849 DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:ROSSFORD
Mailing Address - State:OH
Mailing Address - Zip Code:43460-1375
Mailing Address - Country:US
Mailing Address - Phone:419-666-3327
Mailing Address - Fax:419-666-4214
Practice Address - Street 1:849 DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:ROSSFORD
Practice Address - State:OH
Practice Address - Zip Code:43460-1375
Practice Address - Country:US
Practice Address - Phone:419-666-3327
Practice Address - Fax:419-666-4214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300141801223G0001X
OH300182161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty