Healthcare Provider Details

I. General information

NPI: 1972619153
Provider Name (Legal Business Name): RICHARD WILLIAM ZAPFE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 03/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3253 NORTH WINDSONG DR
PRESCOTT VALLEY AZ
86314
US

IV. Provider business mailing address

3253 NORTH WINDSONG DR
PRESCOTT VALLEY AZ
86314
US

V. Phone/Fax

Practice location:
  • Phone: 928-772-2980
  • Fax: 928-772-1620
Mailing address:
  • Phone: 928-772-2980
  • Fax: 928-772-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4504
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: