Provider Demographics
NPI:1457668998
Name:SMEDINGHOFF, ZERRIN (RDH)
Entity Type:Individual
Prefix:MRS
First Name:ZERRIN
Middle Name:
Last Name:SMEDINGHOFF
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13375 W GRAND AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7076
Mailing Address - Country:US
Mailing Address - Phone:623-544-2300
Mailing Address - Fax:623-544-2704
Practice Address - Street 1:13375 W GRAND AVE
Practice Address - Street 2:STE. 109
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7076
Practice Address - Country:US
Practice Address - Phone:623-544-2300
Practice Address - Fax:623-544-2704
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH5766124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist