Active NPIIndividual provider

Dr. Jeffrey A Zissu, DDS

Dentist, Periodontics in Millburn, New Jersey

NPI Number1124042528
Practice location
75 Main St, Millburn, NJ 07041-1367
Fax
973-467-5639
Last updated
July 8, 2007

Jeffrey Alan Zissu is a Dentist, Periodontics based in Millburn, NJ. Jeffrey Alan Zissu practices in Millburn, NJ and has the professional credentials of DDS. The NPI Number for Jeffrey Alan Zissu is 1124042528 and holds a License No. 22D100870200 (NJ). The current practice location address for Jeffrey Alan Zissu is 75 Main St, Millburn, NJ 07041-1367 and can be reached out via phone at 973-467-5567 and via fax at 973-467-5639.

Provider Profile Details

NPI Number
1124042528
Provider Name
Jeffrey Alan Zissu
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
75 Main St, Millburn, NJ 07041-1367
Phone Number
973-467-5567
Fax Number
973-467-5639
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Main St
Millburn, NJ 07041-1367
Zip
07041-1367
Phone Number
973-467-5567
Fax Number
973-467-5639
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
75 Main St
Millburn, NJ 07041-1367
City
Millburn
State
NJ
Zip
07041-1367
Phone Number
973-467-5567
Fax Number
973-467-5639

License Information

License Number
22D100870200
License State
NJ
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeffrey A Zissu, DDS?

The NPI number of Dr. Jeffrey A Zissu, DDS is 1124042528. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey A Zissu, DDS?

Dr. Jeffrey A Zissu, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 22D100870200.

Where does Dr. Jeffrey A Zissu, DDS practice?

The practice location is 75 Main St, Millburn, NJ 07041-1367. The office can be reached at 973-467-5567 (phone) or 973-467-5639 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124042528 directly on the NPPES registry website.

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