Provider Demographics
NPI:1336172089
Name:ZUARO, JOSEPH T (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:ZUARO
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 1:101 DOLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05663-6001
Mailing Address - Country:US
Mailing Address - Phone:802-485-8541
Mailing Address - Fax:802-485-8541
Practice Address - Street 1:294 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:VT
Practice Address - Zip Code:05663-5674
Practice Address - Country:US
Practice Address - Phone:802-485-5100
Practice Address - Fax:802-485-5101
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT7971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0002420Medicaid