Healthcare Provider Details

I. General information

NPI: 1942465323
Provider Name (Legal Business Name): ANN ZOLEDZ-HESS D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W LANCASTER AVE STE 2
DOWNINGTOWN PA
19335-2474
US

IV. Provider business mailing address

402 WHITE HORSE PIKE S
MAGNOLIA NJ
08049-1061
US

V. Phone/Fax

Practice location:
  • Phone: 610-269-3296
  • Fax: 610-269-7314
Mailing address:
  • Phone: 856-566-9700
  • Fax: 856-566-1689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDI022488
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS036030
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: