Provider Demographics
NPI:1629196480
Name:ZAPUTOWYCZ, OLEH W (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLEH
Middle Name:W
Last Name:ZAPUTOWYCZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-1003
Mailing Address - Country:US
Mailing Address - Phone:908-688-0022
Mailing Address - Fax:
Practice Address - Street 1:1441 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3321
Practice Address - Country:US
Practice Address - Phone:908-688-0022
Practice Address - Fax:908-851-9079
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI013686001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery