Provider Demographics
NPI:1689774309
Name:CHRISAGIS, ZACARI ROBERT (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:ZACARI
Middle Name:ROBERT
Last Name:CHRISAGIS
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 BELMONT STREET
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906
Mailing Address - Country:US
Mailing Address - Phone:740-676-0011
Mailing Address - Fax:740-676-1151
Practice Address - Street 1:3635 BELMONT STREET
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906
Practice Address - Country:US
Practice Address - Phone:740-676-0011
Practice Address - Fax:740-676-1151
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20869122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist