Provider Demographics
NPI:1396081972
Name:ZARGARI, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ZARGARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 MAGUIRE RD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4752
Mailing Address - Country:US
Mailing Address - Phone:407-654-0070
Mailing Address - Fax:
Practice Address - Street 1:2650 MAGUIRE RD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4752
Practice Address - Country:US
Practice Address - Phone:407-654-0070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-30
Last Update Date:2025-01-04
Deactivation Date:2013-10-24
Deactivation Code:
Reactivation Date:2014-12-31
Provider Licenses
StateLicense IDTaxonomies
FLDN13623122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist