Healthcare Provider Details

I. General information

NPI: 1134142441
Provider Name (Legal Business Name): LITSA MARIE ZOTIS D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LITSA MARIE ZOTIS D.D.S.

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 6TH ST
PITTSBURGH PA
15222-3308
US

IV. Provider business mailing address

125 6TH ST
PITTSBURGH PA
15222-3308
US

V. Phone/Fax

Practice location:
  • Phone: 412-338-0678
  • Fax: 412-338-0708
Mailing address:
  • Phone: 412-338-0678
  • Fax: 412-338-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS029393-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: