Provider Demographics
NPI:1598329492
Name:ZINN, ILANA (DMD, MS)
Entity Type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:ZINN
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 PENN AVE.
Mailing Address - Street 2:FACULTY PAVILION #7108
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1852
Mailing Address - Country:US
Mailing Address - Phone:732-757-8148
Mailing Address - Fax:
Practice Address - Street 1:4401 PENN AVE.
Practice Address - Street 2:FACULTY PAVILION #7108
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1522
Practice Address - Country:US
Practice Address - Phone:732-757-8148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD167691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics