Provider Demographics
NPI:1205947702
Name:ZINMAN, EDWIN J (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:J
Last Name:ZINMAN
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 1:220 BUSH ST
Mailing Address - Street 2:1600
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94704
Mailing Address - Country:US
Mailing Address - Phone:415-391-5353
Mailing Address - Fax:415-391-0768
Practice Address - Street 1:220 BUSH ST
Practice Address - Street 2:1600
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94965
Practice Address - Country:US
Practice Address - Phone:415-391-5353
Practice Address - Fax:415-392-0768
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA182261223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics