Provider Demographics
NPI:1558419721
Name:ZABINSKY, BRUCE (DMD)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:ZABINSKY
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 1:88 PAULSON RD
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1029
Mailing Address - Country:US
Mailing Address - Phone:617-964-5188
Mailing Address - Fax:
Practice Address - Street 1:1678 BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-2113
Practice Address - Country:US
Practice Address - Phone:617-734-9360
Practice Address - Fax:617-731-0917
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice