Healthcare Provider Details

I. General information

NPI: 1841954336
Provider Name (Legal Business Name): CHRISTOPHER ZAGAMI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 N DOBSON RD STE 101
MESA AZ
85201-7665
US

IV. Provider business mailing address

6815 E JUNIPER AVE
SCOTTSDALE AZ
85254-1542
US

V. Phone/Fax

Practice location:
  • Phone: 480-267-9920
  • Fax:
Mailing address:
  • Phone: 480-235-6257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD011213
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: