Provider Demographics
NPI:1467431007
Name:ZINK, PHILIP HERBERT II (DMD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:HERBERT
Last Name:ZINK
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 SAINT ROSE RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-9133
Mailing Address - Country:US
Mailing Address - Phone:270-699-9699
Mailing Address - Fax:
Practice Address - Street 1:219 S PROCTOR KNOTT AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1219
Practice Address - Country:US
Practice Address - Phone:270-692-4339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY78481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice