Provider Demographics
NPI:1821806464
Name:ZAINO, CHARLES LEONARD (DENTAL HYGIENIST)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:LEONARD
Last Name:ZAINO
Suffix:
Gender:M
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5621 FREEWILL LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6380
Mailing Address - Country:US
Mailing Address - Phone:516-708-3644
Mailing Address - Fax:
Practice Address - Street 1:UNIT 100318 BOX 1
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09516-1800
Practice Address - Country:US
Practice Address - Phone:757-271-7522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14508124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist