Provider Demographics
NPI:1467508705
Name:YARZABEK, GERARD MARION (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:MARION
Last Name:YARZABEK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1316
Mailing Address - Country:US
Mailing Address - Phone:717-898-8877
Mailing Address - Fax:717-898-0289
Practice Address - Street 1:3232 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1316
Practice Address - Country:US
Practice Address - Phone:717-898-8877
Practice Address - Fax:717-898-0289
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022088L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice