Provider Demographics
NPI:1649387929
Name:ZINZER, BEVERLY B (DDS)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:B
Last Name:ZINZER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3737 WILLIAMS DRIVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2401
Mailing Address - Country:US
Mailing Address - Phone:512-930-1233
Mailing Address - Fax:512-868-2102
Practice Address - Street 1:3737 WILLIAMS DRIVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2401
Practice Address - Country:US
Practice Address - Phone:512-930-1233
Practice Address - Fax:512-868-2102
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16886122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist