Provider Demographics
NPI:1518208685
Name:CHAD M ZAHM DMD PC
Entity Type:Organization
Organization Name:CHAD M ZAHM DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAHM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-715-6662
Mailing Address - Street 1:924 COLONIAL AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3450
Mailing Address - Country:US
Mailing Address - Phone:717-843-8055
Mailing Address - Fax:
Practice Address - Street 1:924 COLONIAL AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3450
Practice Address - Country:US
Practice Address - Phone:717-843-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037852261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental