Provider Demographics
NPI:1811143977
Name:ZEMLA, ZACHARY S (DMD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:S
Last Name:ZEMLA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-1720
Mailing Address - Country:US
Mailing Address - Phone:973-484-0979
Mailing Address - Fax:973-484-9608
Practice Address - Street 1:400 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-1720
Practice Address - Country:US
Practice Address - Phone:973-484-0979
Practice Address - Fax:973-484-9608
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI012374001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice