Provider Demographics
NPI:1952048290
Name:ZAFAR S TARIQ DDS PLC
Entity Type:Organization
Organization Name:ZAFAR S TARIQ DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:SUBHANI
Authorized Official - Last Name:TARIQ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-624-2701
Mailing Address - Street 1:39525 W. 14 MILE RD.
Mailing Address - Street 2:#111
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377
Mailing Address - Country:US
Mailing Address - Phone:248-624-2701
Mailing Address - Fax:248-624-3148
Practice Address - Street 1:39525 W. 14 MILE RD.
Practice Address - Street 2:#111
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377
Practice Address - Country:US
Practice Address - Phone:248-624-2701
Practice Address - Fax:248-624-3148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty