Zetz, Michael R

Zetz, Michael R is an individual health care provider with primary practice located at 4181 Holiday St Nw , Canton OH 44718-2531. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Zetz, Michael R can be contacted via phone (330) 493-1605.

Contact Information

Primary practice address
4181 Holiday St Nw Canton OH 44718-2531
Phone: (330) 493-1605
Fax: (330) 493-9308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-017111 Ohio

Profile Details

NPI number 1215019799
LBN Legal business name Zetz, Michael R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Nov 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215019799 NPPES
Ohio MEDICAID 0524534

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