Provider Demographics
NPI:1801428263
Name:EMAD ZAIDI, DMD PC
Entity type:Organization
Organization Name:EMAD ZAIDI, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:630-759-3595
Mailing Address - Street 1:287 N WEBER RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-1567
Mailing Address - Country:US
Mailing Address - Phone:630-759-3595
Mailing Address - Fax:630-759-3595
Practice Address - Street 1:287 N WEBER RD
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-1567
Practice Address - Country:US
Practice Address - Phone:630-759-3595
Practice Address - Fax:630-759-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty