Provider Demographics
NPI:1760090328
Name:GUTMANN, ZENA STOECKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZENA
Middle Name:STOECKLIN
Last Name:GUTMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 FOREST WOOD TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-6254
Mailing Address - Country:US
Mailing Address - Phone:941-504-2651
Mailing Address - Fax:
Practice Address - Street 1:3920 BEE RIDGE RD UNIT E
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-306-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25233122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist