Provider Demographics
NPI:1780687434
Name:ZUCKER, WILLIAM JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:ZUCKER
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 1:3708 COLUMBUS AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5776
Mailing Address - Country:US
Mailing Address - Phone:419-686-8853
Mailing Address - Fax:419-625-8023
Practice Address - Street 1:3708 COLUMBUS AVE
Practice Address - Street 2:STE 10
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5776
Practice Address - Country:US
Practice Address - Phone:419-686-8853
Practice Address - Fax:419-625-8023
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH150091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice