Healthcare Provider Details

I. General information

NPI: 1437849536
Provider Name (Legal Business Name): ZAIN YUSUF DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2046 W COUNTY LINE RD STE 2
JACKSON NJ
08527-2034
US

IV. Provider business mailing address

25 TANAGER LN
ROBBINSVILLE NJ
08691-2532
US

V. Phone/Fax

Practice location:
  • Phone: 732-298-6476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI03071800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberCDEN03667
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1859820
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: