Provider Demographics
NPI:1457630832
Name:ZENTHEA DENTAL, P.C.
Entity Type:Organization
Organization Name:ZENTHEA DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:NOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-380-7299
Mailing Address - Street 1:572 5TH AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4812
Mailing Address - Country:US
Mailing Address - Phone:212-380-7299
Mailing Address - Fax:212-380-6991
Practice Address - Street 1:572 5TH AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4812
Practice Address - Country:US
Practice Address - Phone:212-380-7299
Practice Address - Fax:212-380-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty