Provider Demographics
NPI:1700534849
Name:DANIEL ZALE DDS PC
Entity Type:Organization
Organization Name:DANIEL ZALE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZALE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-477-2901
Mailing Address - Street 1:5338 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNT JACKSON
Mailing Address - State:VA
Mailing Address - Zip Code:22842
Mailing Address - Country:US
Mailing Address - Phone:540-477-2901
Mailing Address - Fax:540-477-2935
Practice Address - Street 1:5338 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MOUNT JACKSON
Practice Address - State:VA
Practice Address - Zip Code:22842
Practice Address - Country:US
Practice Address - Phone:540-477-2901
Practice Address - Fax:540-477-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty