Healthcare Provider Details

I. General information

NPI: 1205031754
Provider Name (Legal Business Name): PAUL C ZAPPIA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13197 BROADWAY
ALDEN NY
14004-1203
US

IV. Provider business mailing address

13197 BROADWAY
ALDEN NY
14004-1203
US

V. Phone/Fax

Practice location:
  • Phone: 716-937-9758
  • Fax: 716-937-9758
Mailing address:
  • Phone: 716-937-9758
  • Fax: 716-937-9758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number027830
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: