Provider Demographics
NPI:1932140605
Name:ZIMMERMAN, PAUL STERLING SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:STERLING
Last Name:ZIMMERMAN
Suffix:SR
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 1:167A NARROWS POND RD
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-3649
Mailing Address - Country:US
Mailing Address - Phone:207-377-8266
Mailing Address - Fax:
Practice Address - Street 1:1 VA CTR
Practice Address - Street 2:MD 160
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6719
Practice Address - Country:US
Practice Address - Phone:207-623-8411
Practice Address - Fax:207-626-4741
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2693122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist