Provider Demographics
NPI:1336285220
Name:ZAMMITTI, SALVATORE CARMEN (DMD, MMSC)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:CARMEN
Last Name:ZAMMITTI
Suffix:
Gender:M
Credentials:DMD, MMSC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10040 EDISON SQUARE DR NW STE 104
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8254
Mailing Address - Country:US
Mailing Address - Phone:704-657-9175
Mailing Address - Fax:704-947-9992
Practice Address - Street 1:10040 EDISON SQUARE DRIVE NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027
Practice Address - Country:US
Practice Address - Phone:508-308-5555
Practice Address - Fax:707-947-9992
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA187501223X0400X
NC87321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics