Healthcare Provider Details

I. General information

NPI: 1154801439
Provider Name (Legal Business Name): TAO ZHOU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 CORTINA DR
ORLAND CA
95963-1699
US

IV. Provider business mailing address

4008 BREANNA WAY
PLANO TX
75024-3702
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-5544
  • Fax:
Mailing address:
  • Phone: 469-222-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number34179
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number104738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: