Provider Demographics
NPI:1275103996
Name:ZAMMERILLA, WILLIAM T (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:ZAMMERILLA
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 1:76 OLD CLAIRTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3939
Mailing Address - Country:US
Mailing Address - Phone:412-653-1115
Mailing Address - Fax:
Practice Address - Street 1:76 OLD CLAIRTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-3939
Practice Address - Country:US
Practice Address - Phone:412-653-1115
Practice Address - Fax:412-653-5337
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0432151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice