Provider Demographics
NPI:1619625787
Name:ZHENG MA, D.M.D., P.C.
Entity Type:Organization
Organization Name:ZHENG MA, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:608-443-8129
Mailing Address - Street 1:7170 CATON FARM RD UNIT P
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-1695
Mailing Address - Country:US
Mailing Address - Phone:815-782-2299
Mailing Address - Fax:
Practice Address - Street 1:7170 CATON FARM RD UNIT P
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-1695
Practice Address - Country:US
Practice Address - Phone:815-782-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty