Healthcare Provider Details

I. General information

NPI: 1609104488
Provider Name (Legal Business Name): REGINA G ZAPATA RDH, PHDHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2009
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 STATE ST
ERIE PA
16501-1914
US

IV. Provider business mailing address

PO BOX 369
ERIE PA
16512-0369
US

V. Phone/Fax

Practice location:
  • Phone: 814-452-4262
  • Fax: 814-453-4857
Mailing address:
  • Phone: 814-454-4530
  • Fax: 814-456-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH070118
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberPHDH000415
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: