Provider Demographics
NPI:1447066121
Name:ZOLKOWSKI, UTE R (RDH)
Entity type:Individual
Prefix:
First Name:UTE
Middle Name:R
Last Name:ZOLKOWSKI
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6032 AUTUMN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-3938
Mailing Address - Country:US
Mailing Address - Phone:865-803-3350
Mailing Address - Fax:
Practice Address - Street 1:207 KINGS CT
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-1939
Practice Address - Country:US
Practice Address - Phone:865-983-6361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDH5250124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist