Provider Demographics
NPI:1437818739
Name:WALTER G ZATTERA DDS PC
Entity Type:Organization
Organization Name:WALTER G ZATTERA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZATTERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-561-9620
Mailing Address - Street 1:120 W EASTMAN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-5949
Mailing Address - Country:US
Mailing Address - Phone:847-394-5620
Mailing Address - Fax:
Practice Address - Street 1:120 W EASTMAN ST STE 203
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-5949
Practice Address - Country:US
Practice Address - Phone:847-394-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental