Provider Demographics
NPI:1952511511
Name:ZARITSKY, PAUL (DMD, MS, PA)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:ZARITSKY
Suffix:
Gender:M
Credentials:DMD, MS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 HENDERSON BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4515
Mailing Address - Country:US
Mailing Address - Phone:813-871-5900
Mailing Address - Fax:813-875-7701
Practice Address - Street 1:3670 HENDERSON BLVD STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4515
Practice Address - Country:US
Practice Address - Phone:813-871-5900
Practice Address - Fax:813-875-7701
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL146951223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics