Provider Demographics
NPI:1407060007
Name:STEVEN R. ZEMBROSKI DMD INC
Entity Type:Organization
Organization Name:STEVEN R. ZEMBROSKI DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZEMBROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-622-1488
Mailing Address - Street 1:94 WESTERN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-7228
Mailing Address - Country:US
Mailing Address - Phone:207-622-1477
Mailing Address - Fax:207-622-1477
Practice Address - Street 1:94 WESTERN AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-7228
Practice Address - Country:US
Practice Address - Phone:207-622-1477
Practice Address - Fax:207-622-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty