Healthcare Provider Details

I. General information

NPI: 1295985166
Provider Name (Legal Business Name): SYLVIA ZIKA D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 HAMPTON HOUSE RD
NEWTON NJ
07860-1408
US

IV. Provider business mailing address

PO BOX 564
NEWTON NJ
07860-0564
US

V. Phone/Fax

Practice location:
  • Phone: 973-579-6411
  • Fax: 973-579-7706
Mailing address:
  • Phone: 973-579-6411
  • Fax: 973-579-7706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number11374
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: