Healthcare Provider Details

I. General information

NPI: 1144279852
Provider Name (Legal Business Name): JOSEPH PAUL ZOLINSKI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3456 SHATTUCK RD
SAGINAW MI
48603
US

IV. Provider business mailing address

3456 SHATTUCK RD
SAGINAW MI
48603
US

V. Phone/Fax

Practice location:
  • Phone: 989-792-8400
  • Fax: 989-792-2275
Mailing address:
  • Phone: 989-792-8400
  • Fax: 989-792-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number16965
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: