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NPI Code Detail

MEDICARE: WILLIAM ZUCKER & KENNETH WYNESKI, DENTAL PARTNERS, INC.

MEDICARE: WILLIAM ZUCKER & KENNETH WYNESKI, DENTAL PARTNERS, INC.
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1407859150
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM ZUCKER & KENNETH WYNESKI, DENTAL PARTNERS, INC.
Provider Business Mailing Address
First Line : 3708 COLUMBUS AVE
Second Line : STE 10
City : SANDUSKY
State : OH
Zip : 44870-5776
Country : US
Telephone Number : 419-686-8853
Fax Number : 419-625-8023
Provider Business Practice Location Address
First Line : 3708 COLUMBUS AVE
Second Line : STE 10
City : SANDUSKY
State : OH
Zip : 44870-5776
Country : US
Telephone Number : 419-686-8853
Fax Number : 419-625-8023
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM JOHN ZUCKER
Credential : DDS
Telephone Number : 419-626-8853
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/22/2020

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Directions to “WILLIAM ZUCKER & KENNETH WYNESKI, DENTAL PARTNERS, INC. ” Practice Location

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