Provider Demographics
NPI:1063269470
Name:JIANMIN ZHUO DDS PLLC
Entity type:Organization
Organization Name:JIANMIN ZHUO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIANMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHUO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-687-9450
Mailing Address - Street 1:5023 210TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1139
Mailing Address - Country:US
Mailing Address - Phone:917-687-9450
Mailing Address - Fax:
Practice Address - Street 1:41-23 UNION STREET
Practice Address - Street 2:5F
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:917-687-9450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty