Provider Demographics
NPI:1972698033
Name:ZUDANS, ERIK Z (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:Z
Last Name:ZUDANS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 N HIGHWAY A1A
Mailing Address - Street 2:SUITE D-107
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4571
Mailing Address - Country:US
Mailing Address - Phone:561-746-7436
Mailing Address - Fax:561-746-7437
Practice Address - Street 1:725 N HIGHWAY A1A
Practice Address - Street 2:SUITE D-107
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4571
Practice Address - Country:US
Practice Address - Phone:561-746-7436
Practice Address - Fax:561-746-7437
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN155261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice