Provider Demographics
NPI:1851874689
Name:ZAMZAM & ISSA PLLC
Entity Type:Organization
Organization Name:ZAMZAM & ISSA PLLC
Other - Org Name:PEAK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-991-9717
Mailing Address - Street 1:208 GRAND AVENUE PKWY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-1892
Mailing Address - Country:US
Mailing Address - Phone:737-717-3500
Mailing Address - Fax:
Practice Address - Street 1:208 GRAND AVENUE PKWY
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-1892
Practice Address - Country:US
Practice Address - Phone:737-717-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX30514OtherTSBDE