Provider Demographics
NPI:1760650758
Name:DR. RICARDO ZAMBITO
Entity Type:Organization
Organization Name:DR. RICARDO ZAMBITO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:ZAMBITO
Authorized Official - Suffix:
Authorized Official - Credentials:DO / PLLC
Authorized Official - Phone:304-243-1500
Mailing Address - Street 1:1201 MOUNT DE CHANTAL RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6332
Mailing Address - Country:US
Mailing Address - Phone:304-243-1500
Mailing Address - Fax:304-243-0249
Practice Address - Street 1:1201 MOUNT DE CHANTAL RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6332
Practice Address - Country:US
Practice Address - Phone:304-243-1500
Practice Address - Fax:304-243-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty