Provider Demographics
NPI:1447499280
Name:DR. SIGAL ZOHAR, D.D.S., P.A.
Entity type:Organization
Organization Name:DR. SIGAL ZOHAR, D.D.S., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-733-2929
Mailing Address - Street 1:4200 MAPLESHADE LN STE 120
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0032
Mailing Address - Country:US
Mailing Address - Phone:972-733-2929
Mailing Address - Fax:972-733-2949
Practice Address - Street 1:4200 MAPLESHADE LN STE 120
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-0032
Practice Address - Country:US
Practice Address - Phone:972-733-2929
Practice Address - Fax:972-733-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty