Provider Demographics
NPI:1760828065
Name:JEFFREY M. ZENT, D.D.S., P.S.
Entity Type:Organization
Organization Name:JEFFREY M. ZENT, D.D.S., P.S.
Other - Org Name:ISSAQUAH FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-391-8260
Mailing Address - Street 1:22510 SE 64TH PL STE 110
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5389
Mailing Address - Country:US
Mailing Address - Phone:425-391-8260
Mailing Address - Fax:
Practice Address - Street 1:22510 SE 64TH PL STE 110
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5389
Practice Address - Country:US
Practice Address - Phone:425-391-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No122400000XDental ProvidersDenturistGroup - Multi-Specialty