Provider Demographics
NPI:1992854582
Name:ROBERT J. ZOCH, D.D.S., M.A G.D., P.A.
Entity Type:Organization
Organization Name:ROBERT J. ZOCH, D.D.S., M.A G.D., P.A.
Other - Org Name:ORLANDO DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ZOCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MAGD
Authorized Official - Phone:512-263-0510
Mailing Address - Street 1:13501 COLETO CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2073
Mailing Address - Country:US
Mailing Address - Phone:512-263-0510
Mailing Address - Fax:512-263-0510
Practice Address - Street 1:13501 COLETO CREEK TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2073
Practice Address - Country:US
Practice Address - Phone:512-263-0510
Practice Address - Fax:512-263-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9419122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty