Provider Demographics
NPI:1669785796
Name:ZVOSEC, MICHAEL D (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:ZVOSEC
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 1:700 E RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-5918
Mailing Address - Country:US
Mailing Address - Phone:440-323-8383
Mailing Address - Fax:
Practice Address - Street 1:700 E RIVER ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5918
Practice Address - Country:US
Practice Address - Phone:440-323-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-18
Last Update Date:2010-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17001122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist