MEDICARE: ZOLLINGER, PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1629541552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOLLINGER, PLLC

Provider Business Mailing Address
First Line	:	3022 E 57TH AVE STE 10
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-7033
Country	:	US
Telephone Number	:	509-443-8910
Fax Number	:	594-443-8911

Provider Business Practice Location Address
First Line	:	3022 E 57TH AVE STE 10
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-7033
Country	:	US
Telephone Number	:	509-443-8910
Fax Number	:	594-443-8911

Authorized Official
Title or Position	:	DENTIST
Name	:	BRYANT ZOLLINGER
Credential	:	DDS
Telephone Number	:	509-443-8910

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	07/20/2021

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Directions to “ZOLLINGER, PLLC ” Practice Location

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