Provider Demographics
NPI:1346462876
Name:ZETTEL AND ZETTEL DDS, PC
Entity Type:Organization
Organization Name:ZETTEL AND ZETTEL DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZETTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-345-2221
Mailing Address - Street 1:648 PROGRESS STREET SUITE 201
Mailing Address - Street 2:PO BOX 399
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661
Mailing Address - Country:US
Mailing Address - Phone:989-345-2221
Mailing Address - Fax:
Practice Address - Street 1:648 PROGRESS STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661
Practice Address - Country:US
Practice Address - Phone:989-345-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty