Provider Demographics
NPI:1720177900
Name:ZWILLINGER, ALAN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:S
Last Name:ZWILLINGER
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 1:26 GREENWAY
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401-1328
Mailing Address - Country:US
Mailing Address - Phone:201-327-6011
Mailing Address - Fax:201-825-2548
Practice Address - Street 1:400 FRANKLIN TRPE
Practice Address - Street 2:SUITE 206
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430
Practice Address - Country:US
Practice Address - Phone:201-825-8766
Practice Address - Fax:201-825-2548
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ119521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice