Provider Demographics
NPI:1619042348
Name:ZABLOCKI, JOHN PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:ZABLOCKI
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:JOHN P ZABLOCKI DDS
Mailing Address - Street 2:9178 HIGHLAND RD #3
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386
Mailing Address - Country:US
Mailing Address - Phone:248-698-9444
Mailing Address - Fax:248-698-9322
Practice Address - Street 1:JOHN P ZABLOCKI DDS
Practice Address - Street 2:9178 HIGHLAND RD #3
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386
Practice Address - Country:US
Practice Address - Phone:248-698-9444
Practice Address - Fax:248-698-9322
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI29010133841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice