Healthcare Provider Details

I. General information

NPI: 1912753096
Provider Name (Legal Business Name): PRIYA SAMIR ZAVERI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6512A DEER POINTE DR
SALISBURY MD
21804-1669
US

IV. Provider business mailing address

6512A DEER POINTE DR
SALISBURY MD
21804-1669
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-0009
  • Fax:
Mailing address:
  • Phone: 410-749-0009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number18874
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: