Provider Demographics
NPI:1518150689
Name:ZWART, MARCY LEE (DDS)
Entity Type:Individual
Prefix:MS
First Name:MARCY
Middle Name:LEE
Last Name:ZWART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:MARCY
Other - Middle Name:LEE ZWART
Other - Last Name:REINEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:257 S DENTAL SCIENCE BLDG
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1001
Mailing Address - Country:US
Mailing Address - Phone:319-335-7431
Mailing Address - Fax:319-335-7155
Practice Address - Street 1:322 S DENTAL SCIENCE BLDG
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1001
Practice Address - Country:US
Practice Address - Phone:319-335-7440
Practice Address - Fax:319-335-7451
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08471122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist