Provider Demographics
NPI:1467568063
Name:ZREIK, ZIAD ALEX (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZIAD ALEX
Middle Name:
Last Name:ZREIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:ZREIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:7517 CAMERON ROAD
Mailing Address - Street 2:SUITE 107 LONGHORN DENTAL ASSOCIATES PC
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752
Mailing Address - Country:US
Mailing Address - Phone:512-371-1222
Mailing Address - Fax:512-371-3914
Practice Address - Street 1:16000 PARK VALLEY DR
Practice Address - Street 2:SUITE 100 LONGHORN DENTAL
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:512-244-7995
Practice Address - Fax:512-310-0451
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21442122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics