Healthcare Provider Details

I. General information

NPI: 1730273442
Provider Name (Legal Business Name): ROBERT CHARLES ZALME DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 MDG/SGSC 301 FISHER STREET
BILOXI MS
39534
US

IV. Provider business mailing address

3544 NORTH RIVER RIDGE DRIVE
BILOXI MS
39532
US

V. Phone/Fax

Practice location:
  • Phone: 228-376-4469
  • Fax: 228-376-0148
Mailing address:
  • Phone: 228-376-4469
  • Fax: 228-376-0148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number09706
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: