Provider Demographics
NPI:1528211844
Name:ZUCH, ALLEN MARTIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:MARTIN
Last Name:ZUCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 N GREELEY AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3409
Mailing Address - Country:US
Mailing Address - Phone:914-238-0018
Mailing Address - Fax:914-238-1430
Practice Address - Street 1:75 N GREELEY AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3409
Practice Address - Country:US
Practice Address - Phone:914-238-0018
Practice Address - Fax:914-238-1430
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0420211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics