Provider Demographics
NPI:1689333403
Name:ZC DENTISTRY PLLC
Entity Type:Organization
Organization Name:ZC DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIBAL
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:ZRIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-505-8382
Mailing Address - Street 1:3540 S POPLAR ST STE 301
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1364
Mailing Address - Country:US
Mailing Address - Phone:303-758-2980
Mailing Address - Fax:
Practice Address - Street 1:3540 S POPLAR ST STE 301
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1364
Practice Address - Country:US
Practice Address - Phone:303-758-2980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental