MEDICARE: MICHAEL ZINGALIS DDS PA

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	20258	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841467081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL ZINGALIS DDS PA

Provider Business Mailing Address
First Line	:	2250 THOUSAND OAKS DR STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3968
Country	:	US
Telephone Number	:	210-314-6635
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 THOUSAND OAKS DR STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3968
Country	:	US
Telephone Number	:	210-314-6635
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MICHAEL T ZINGALIS
Credential	:	DDS
Telephone Number	:	210-314-6635

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	08/06/2015

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