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NPI Code Detail

MEDICARE: DR. BARRY ZEITMAN DDS

MEDICARE: DR. BARRY ZEITMAN 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
11223P0300XPeriodontics8738GA

General Provider Information

NPI Number : 1972508117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY ZEITMAN DDS
Provider Business Mailing Address
First Line : 405 ARROWHEAD BLVD
Second Line :
City : JONESBORO
State : GA
Zip : 30236-1254
Country : US
Telephone Number : 770-471-2306
Fax Number : 404-393-9943
Provider Business Practice Location Address
First Line : 405 ARROWHEAD BLVD
Second Line :
City : JONESBORO
State : GA
Zip : 30236-1254
Country : US
Telephone Number : 770-471-2306
Fax Number : 404-393-9943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/08/2007

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Directions to “ DR. BARRY ZEITMAN DDS” Practice Location

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