Provider Demographics
NPI:1881633006
Name:ZIMMERMAN, JAMES WILLIAM JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:ZIMMERMAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5636 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1506
Mailing Address - Country:US
Mailing Address - Phone:419-536-1485
Mailing Address - Fax:419-536-9303
Practice Address - Street 1:5636 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1506
Practice Address - Country:US
Practice Address - Phone:419-536-1485
Practice Address - Fax:419-536-9303
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH153741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice