Provider Demographics
NPI:1700223351
Name:ZOPP, BRYAN TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:TODD
Last Name:ZOPP
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 1:220 CULPEPER ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3248
Mailing Address - Country:US
Mailing Address - Phone:540-347-3396
Mailing Address - Fax:
Practice Address - Street 1:220 CULPEPER ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3248
Practice Address - Country:US
Practice Address - Phone:540-347-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014139941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice