Provider Demographics
NPI:1043052822
Name:Z FAMILY DENTAL
Entity type:Organization
Organization Name:Z FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YAKUB
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVLANOV
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-501-1552
Mailing Address - Street 1:2171 SIESTA DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5235
Mailing Address - Country:US
Mailing Address - Phone:718-501-1552
Mailing Address - Fax:
Practice Address - Street 1:2171 SIESTA DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5235
Practice Address - Country:US
Practice Address - Phone:718-501-1552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental