Provider Demographics
NPI:1841738515
Name:GEORGE V GATZONIS DDS
Entity Type:Organization
Organization Name:GEORGE V GATZONIS DDS
Other - Org Name:DITMARS FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:V
Authorized Official - Last Name:GATZONIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-726-3600
Mailing Address - Street 1:3316 DITMARS BLVD
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2157
Mailing Address - Country:US
Mailing Address - Phone:718-726-3600
Mailing Address - Fax:718-726-0207
Practice Address - Street 1:3316 DITMARS BLVD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2157
Practice Address - Country:US
Practice Address - Phone:718-726-3600
Practice Address - Fax:718-726-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty