Provider Demographics
NPI:1679787063
Name:PRESS, ZACHARY DEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:DEAN
Last Name:PRESS
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 1:4805 GARRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5641
Mailing Address - Country:US
Mailing Address - Phone:410-664-2400
Mailing Address - Fax:410-664-7080
Practice Address - Street 1:4805 GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5641
Practice Address - Country:US
Practice Address - Phone:410-664-2400
Practice Address - Fax:410-664-7080
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD91791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice