Provider Demographics
NPI:1598096596
Name:CARSON FERRIS-ZEOLLA D.M.D. VICTORIA URYNIAK D.D.S.
Entity Type:Organization
Organization Name:CARSON FERRIS-ZEOLLA D.M.D. VICTORIA URYNIAK D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:URYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-735-8188
Mailing Address - Street 1:1484 STATE ROUTE 31 N
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3125
Mailing Address - Country:US
Mailing Address - Phone:908-735-8188
Mailing Address - Fax:908-735-6651
Practice Address - Street 1:1484 STATE ROUTE 31 N
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3125
Practice Address - Country:US
Practice Address - Phone:908-735-8188
Practice Address - Fax:908-735-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02071702122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty