Provider Demographics
NPI:1871020495
Name:ZOIDIS, PANAGIOTIS (DDS,MS,PHD)
Entity Type:Individual
Prefix:MR
First Name:PANAGIOTIS
Middle Name:
Last Name:ZOIDIS
Suffix:
Gender:M
Credentials:DDS,MS,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100405
Mailing Address - Street 2:1395 CENTER DRIVE, ROOM D1-11
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610
Mailing Address - Country:US
Mailing Address - Phone:352-273-7962
Mailing Address - Fax:352-392-4070
Practice Address - Street 1:1395 CENTER DRIVE
Practice Address - Street 2:ROOM D1-11
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-273-7962
Practice Address - Fax:352-392-4070
Is Sole Proprietor?:No
Enumeration Date:2017-05-13
Last Update Date:2017-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDTP6531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics