Provider Demographics
NPI:1528559291
Name:ANITA ZAGER DMD PLLC
Entity Type:Organization
Organization Name:ANITA ZAGER DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-664-7244
Mailing Address - Street 1:141 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2827
Mailing Address - Country:US
Mailing Address - Phone:610-664-7244
Mailing Address - Fax:
Practice Address - Street 1:141 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-2827
Practice Address - Country:US
Practice Address - Phone:610-664-7244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty