MEDICARE: WILLIAM N ZOERHOF DDS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1396284212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM N ZOERHOF DDS, PC

Provider Business Mailing Address
First Line	:	8478 M 119
Second Line	:	SUITE 20
City	:	HARBOR SPRINGS
State	:	MI
Zip	:	49740-9595
Country	:	US
Telephone Number	:	231-487-0229
Fax Number	:	231-487-0299

Provider Business Practice Location Address
First Line	:	8478 M 119
Second Line	:	SUITE 20
City	:	HARBOR SPRINGS
State	:	MI
Zip	:	49740-9595
Country	:	US
Telephone Number	:	231-487-0229
Fax Number	:	231-487-0299

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM N ZOERHOF
Credential	:	DDS
Telephone Number	:	231-487-0229

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	02/13/2017

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