Provider Demographics
NPI:1467891556
Name:RAMBERG, ZACHARY CHASE (DDS)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:CHASE
Last Name:RAMBERG
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 1:418 WEST MONROE AVE BOX 350
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:MT
Mailing Address - Zip Code:59522
Mailing Address - Country:US
Mailing Address - Phone:406-759-5350
Mailing Address - Fax:406-879-4033
Practice Address - Street 1:418 WEST MONROE AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MT
Practice Address - Zip Code:59522
Practice Address - Country:US
Practice Address - Phone:406-759-5350
Practice Address - Fax:406-879-4033
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-5955122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist