Mark Roy Zemanovich in Stephens City - Periodontics

Mark Roy Zemanovich - NPI 1649372293

Mark Roy Zemanovich is a Periodontics in Stephens City, Virginia. Mark Roy Zemanovich practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark Roy Zemanovich is 1649372293. The last update date is 2007-07-08.

Mark Roy Zemanovich's current location address is 203 Salem Church Rd, Stephens City, Virginia. You can contact this provider via phone number 5408682740. The mailing address for Mark Roy Zemanovich is 203 Salem Church Rd, Stephens City, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Roy Zemanovich
Address 203 Salem Church Rd, Stephens City, Virginia
Phone Number 5408682740
Fax Number
Sole Proprietor Y
Credentials DDS, MS

NPI Number Detail

NPI Number 1649372293
Provider Enumeration Date 2006-09-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 203 Salem Church Rd
City Stephens City
State Virginia (VA)
Post Code 226555314
Phone Number 5408682740
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 401411115
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
401411115 VA DENTAL LICENSE

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FAQs about Mark Roy Zemanovich

What is the unique identifier code issued to Mark Roy Zemanovich by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Roy Zemanovich has been assigned the NPI (National Provider Identifier) 1649372293. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Mark Roy Zemanovich located?

The Mark Roy Zemanovich is located at 203 Salem Church Rd, Stephens City, VA 226555314.

What is Mark Roy Zemanovich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Roy Zemanovich's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1649372293 to Mark Roy Zemanovich?

The Centers for Medicare & Medicaid Services assigned the 1649372293 to Mark Roy Zemanovich on 2006-09-03.

As of what date were the details related to Mark Roy Zemanovich most recently updated or revised?

The information pertaining to Mark Roy Zemanovich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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