Healthcare Provider Details

I. General information

NPI: 1760828065
Provider Name (Legal Business Name): JEFFREY M. ZENT, D.D.S., P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22510 SE 64TH PL STE 110
ISSAQUAH WA
98027-5389
US

IV. Provider business mailing address

22510 SE 64TH PL STE 110
ISSAQUAH WA
98027-5389
US

V. Phone/Fax

Practice location:
  • Phone: 425-391-8260
  • Fax:
Mailing address:
  • Phone: 425-391-8260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code122400000X
TaxonomyDenturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY ZENT
Title or Position: OWNER
Credential: D.D.S.
Phone: 425-391-8260