Provider Demographics
NPI:1669490322
Name:ROOKS, ZEINA WAKED (DDS)
Entity type:Individual
Prefix:
First Name:ZEINA
Middle Name:WAKED
Last Name:ROOKS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ZEINA
Other - Middle Name:T
Other - Last Name:WAKED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:13125 PROSPECT ROAD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149
Mailing Address - Country:US
Mailing Address - Phone:440-572-8787
Mailing Address - Fax:440-572-9293
Practice Address - Street 1:13125 PROSPECT ROAD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149
Practice Address - Country:US
Practice Address - Phone:440-572-8787
Practice Address - Fax:440-572-9293
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0211721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2231623Medicaid