Provider Demographics
NPI:1801951512
Name:ZOLLINGER, PAUL K
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:K
Last Name:ZOLLINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 E COUNTY RD E
Mailing Address - Street 2:SUITE 185
Mailing Address - City:VADNAIS HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55127-7197
Mailing Address - Country:US
Mailing Address - Phone:651-482-1122
Mailing Address - Fax:651-766-2557
Practice Address - Street 1:925 E COUNTY RD E
Practice Address - Street 2:SUITE 185
Practice Address - City:VADNAIS HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55127-7197
Practice Address - Country:US
Practice Address - Phone:651-482-1122
Practice Address - Fax:651-766-2557
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN91421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice