Provider Demographics
NPI:1336364496
Name:ZYBER, DAVID JOHNATHON (DDS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOHNATHON
Last Name:ZYBER
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 1:57 STOCK RD
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455
Mailing Address - Country:US
Mailing Address - Phone:810-678-3745
Mailing Address - Fax:810-664-3580
Practice Address - Street 1:381 N SAGINAW
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446
Practice Address - Country:US
Practice Address - Phone:810-664-4542
Practice Address - Fax:810-664-3580
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI18091721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice