Provider Demographics
NPI:1851478655
Name:DAVID A. PANZER DDS PLLC
Entity Type:Organization
Organization Name:DAVID A. PANZER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:PANZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-430-4500
Mailing Address - Street 1:343 SANFORD DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-2555
Mailing Address - Country:US
Mailing Address - Phone:828-430-4500
Mailing Address - Fax:828-430-7400
Practice Address - Street 1:343 SANFORD DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-2555
Practice Address - Country:US
Practice Address - Phone:828-430-4500
Practice Address - Fax:828-430-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1700814605OtherNPI TYPE 1