Provider Demographics
NPI:1336259050
Name:ZOTOS, JOHN N (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:N
Last Name:ZOTOS
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 1:6230 N BELT LINE
Mailing Address - Street 2:#310
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063
Mailing Address - Country:US
Mailing Address - Phone:972-550-8272
Mailing Address - Fax:972-753-1433
Practice Address - Street 1:6230 N BELT LINE
Practice Address - Street 2:#310
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063
Practice Address - Country:US
Practice Address - Phone:972-550-8272
Practice Address - Fax:972-753-1433
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist