Provider Demographics
NPI:1972829810
Name:BERTMAN-ZATS, INESSA (DDS)
Entity Type:Individual
Prefix:DR
First Name:INESSA
Middle Name:
Last Name:BERTMAN-ZATS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2843
Mailing Address - Country:US
Mailing Address - Phone:614-725-4500
Mailing Address - Fax:614-317-4057
Practice Address - Street 1:1500 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:OH
Practice Address - Zip Code:43212-2843
Practice Address - Country:US
Practice Address - Phone:614-725-4500
Practice Address - Fax:614-317-4057
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300227061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice