MEDICARE: DR. DAVID ALBIN ZIMLIKI 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	122300000X	Dentist	DS035691	PA

General Provider Information

NPI Number	:	1912986613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALBIN ZIMLIKI DMD

Provider Business Mailing Address
First Line	:	2855 EASTERN BLVD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2909
Country	:	US
Telephone Number	:	717-434-8275
Fax Number	:

Provider Business Practice Location Address
First Line	:	2855 EASTERN BLVD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2909
Country	:	US
Telephone Number	:	717-755-1007
Fax Number	:	717-757-5625

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	06/02/2020

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