Provider Demographics
NPI:1467249946
Name:ALEXANDRA ZABALA DENTAL PLLC
Entity type:Organization
Organization Name:ALEXANDRA ZABALA DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:239-895-6719
Mailing Address - Street 1:17580 WINDING WOOD LN
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33982-5091
Mailing Address - Country:US
Mailing Address - Phone:239-895-6719
Mailing Address - Fax:
Practice Address - Street 1:8991 DANIELS CENTER DR UNIT 101107
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-0317
Practice Address - Country:US
Practice Address - Phone:239-895-6719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental