Provider Demographics
NPI:1659649424
Name:DENTAL IMPLANT AND COSMETIC, PC
Entity Type:Organization
Organization Name:DENTAL IMPLANT AND COSMETIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-243-7777
Mailing Address - Street 1:2004 CROMPOND RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4231
Mailing Address - Country:US
Mailing Address - Phone:914-243-7777
Mailing Address - Fax:914-243-6236
Practice Address - Street 1:2004 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4231
Practice Address - Country:US
Practice Address - Phone:914-243-7777
Practice Address - Fax:914-243-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty