Provider Demographics
NPI:1952550188
Name:MARY PAULA ZAYTOUN DDS MSO AND HENRY S ZAYTOUN JR DDS MSO PA
Entity type:Organization
Organization Name:MARY PAULA ZAYTOUN DDS MSO AND HENRY S ZAYTOUN JR DDS MSO PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:ZAYTOUN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS, MSO
Authorized Official - Phone:919-782-6911
Mailing Address - Street 1:5041 SIX FORKS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4493
Mailing Address - Country:US
Mailing Address - Phone:919-782-6911
Mailing Address - Fax:919-782-6913
Practice Address - Street 1:5041 SIX FORKS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4493
Practice Address - Country:US
Practice Address - Phone:919-782-6911
Practice Address - Fax:919-782-6913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty