Provider Demographics
NPI:1568481117
Name:JOHN ZARGARI, DDS, PA
Entity Type:Organization
Organization Name:JOHN ZARGARI, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARGARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:407-654-0070
Mailing Address - Street 1:2650 SOUTH MAGUIRE ROAD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761
Mailing Address - Country:US
Mailing Address - Phone:407-654-0070
Mailing Address - Fax:407-654-0087
Practice Address - Street 1:2650 SOUTH MAGUIRE ROAD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761
Practice Address - Country:US
Practice Address - Phone:407-654-0070
Practice Address - Fax:407-654-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL136231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty