Provider Demographics
NPI:1528598208
Name:ZENELAJ, ALBANO (DMD)
Entity Type:Individual
Prefix:
First Name:ALBANO
Middle Name:
Last Name:ZENELAJ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 S 9TH ST APT K304
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-3483
Mailing Address - Country:US
Mailing Address - Phone:267-974-4037
Mailing Address - Fax:
Practice Address - Street 1:2690 KINGSTON RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8001
Practice Address - Country:US
Practice Address - Phone:610-253-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0412101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice