MEDICARE: DR. DAVID CRAIG ZILKER DMD

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
1	1223G0001X	General Practice Dentistry	DS019505L	PA

General Provider Information

NPI Number	:	1508863895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CRAIG ZILKER DMD

Provider Business Mailing Address
First Line	:	2762 NAZARETH RD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-2717
Country	:	US
Telephone Number	:	610-253-4227
Fax Number	:	610-559-0247

Provider Business Practice Location Address
First Line	:	2762 NAZARETH RD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-2717
Country	:	US
Telephone Number	:	610-253-4227
Fax Number	:	610-559-0247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/08/2007

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