Provider Demographics
NPI:1992848428
Name:ZABKOWICZ, JOHN CRAIG (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CRAIG
Last Name:ZABKOWICZ
Suffix:
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 1:924 WEST OKLAHOMA AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-4744
Mailing Address - Country:US
Mailing Address - Phone:414-744-6777
Mailing Address - Fax:414-744-3484
Practice Address - Street 1:924 WEST OKLAHOMA AVENUE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4744
Practice Address - Country:US
Practice Address - Phone:414-744-6777
Practice Address - Fax:414-744-3484
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI29720151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice