Healthcare Provider Details

I. General information

NPI: 1679121511
Provider Name (Legal Business Name): ZENITH CITY ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 SOUTH ST STE 2
DULUTH MN
55812-2117
US

IV. Provider business mailing address

1901 SOUTH ST STE 2
DULUTH MN
55812-2117
US

V. Phone/Fax

Practice location:
  • Phone: 218-727-3789
  • Fax:
Mailing address:
  • Phone: 218-727-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE HAMMER
Title or Position: ORTHODONTIST/OWNER
Credential: DDS, MS
Phone: 218-349-9546