Healthcare Provider Details

I. General information

NPI: 1073965778
Provider Name (Legal Business Name): ZSAMBEKY, CHANEY & ASSOCIATES KANNAPOLIS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 07/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1843 S RIDGE AVE
KANNAPOLIS NC
28083-6149
US

IV. Provider business mailing address

220 BRANCHVIEW DR SE
CONCORD NC
28025-3577
US

V. Phone/Fax

Practice location:
  • Phone: 704-938-8523
  • Fax:
Mailing address:
  • Phone: 704-782-2214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number9171
License Number StateNC

VIII. Authorized Official

Name: GINGER ZSAMBEKY
Title or Position: OFFICE MANAGER
Credential:
Phone: 704-782-2214