Provider Demographics
NPI:1457559619
Name:DEBRA ZOMBEK, D.D.S., P.A.
Entity Type:Organization
Organization Name:DEBRA ZOMBEK, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CDPMA
Authorized Official - Phone:252-443-6443
Mailing Address - Street 1:165 KANDEMOR LN
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3212
Mailing Address - Country:US
Mailing Address - Phone:252-443-6443
Mailing Address - Fax:252-443-0043
Practice Address - Street 1:131 FOY DR
Practice Address - Street 2:SUITE C
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2448
Practice Address - Country:US
Practice Address - Phone:252-443-6443
Practice Address - Fax:252-443-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty