Provider Demographics
NPI:1558377390
Name:DZINGLE, NORMAN RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:RICHARD
Last Name:DZINGLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 E WISCONSIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2922
Mailing Address - Country:US
Mailing Address - Phone:989-772-1334
Mailing Address - Fax:
Practice Address - Street 1:1015 E WISCONSIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2922
Practice Address - Country:US
Practice Address - Phone:989-772-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI116921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice