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NPI Code Detail

MEDICARE: DAVID SCOTT VAN ZANDT DDS

MEDICARE: DAVID SCOTT VAN ZANDT DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11928TX

General Provider Information

NPI Number : 1063520625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCOTT VAN ZANDT DDS
Provider Business Mailing Address
First Line : 5793 SAN FELIPE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77057-3101
Country : US
Telephone Number : 713-784-2958
Fax Number : 713-532-1620
Provider Business Practice Location Address
First Line : 5793 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77057-3101
Country : US
Telephone Number : 713-784-2958
Fax Number : 713-532-1620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID SCOTT VAN ZANDT DDS” Practice Location

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