Provider Demographics
NPI:1043052582
Name:ZAMIR, TAL (DMD)
Entity type:Individual
Prefix:DR
First Name:TAL
Middle Name:
Last Name:ZAMIR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1567
Mailing Address - Country:US
Mailing Address - Phone:570-536-8050
Mailing Address - Fax:
Practice Address - Street 1:38 N 2ND ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1567
Practice Address - Country:US
Practice Address - Phone:570-536-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0446261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice