Provider Demographics
NPI:1922525344
Name:AARON ZEEVI DDS MS PLC
Entity Type:Organization
Organization Name:AARON ZEEVI DDS MS PLC
Other - Org Name:AZ PERIODONTICS AND IMPLANT DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEEVI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-808-4030
Mailing Address - Street 1:26789 WOODWARD AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1334
Mailing Address - Country:US
Mailing Address - Phone:248-808-4030
Mailing Address - Fax:
Practice Address - Street 1:26789 WOODWARD AVE STE 202
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1334
Practice Address - Country:US
Practice Address - Phone:248-808-4030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010189131223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty