Provider Demographics
NPI:1578758611
Name:JAMES G. ZALETEL, DDS, PC
Entity Type:Organization
Organization Name:JAMES G. ZALETEL, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZALETEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-960-8670
Mailing Address - Street 1:2000 HUNTINGTON AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-1728
Mailing Address - Country:US
Mailing Address - Phone:703-960-8670
Mailing Address - Fax:703-960-0267
Practice Address - Street 1:2000 HUNTINGTON AVE STE 107
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-1728
Practice Address - Country:US
Practice Address - Phone:703-960-8670
Practice Address - Fax:703-960-0267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA45901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty