Provider Demographics
NPI:1861662439
Name:ZALESKI, JILL A (DMD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:A
Last Name:ZALESKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 ROUTE 70 EAST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-428-3000
Mailing Address - Fax:856-428-3139
Practice Address - Street 1:1401 ROUTE 70 EAST
Practice Address - Street 2:SUITE 21
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-428-3000
Practice Address - Fax:856-428-3139
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D101671100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist