Provider Demographics
NPI:1124136064
Name:RICHARD A ZUPPARDI DDS PC
Entity type:Organization
Organization Name:RICHARD A ZUPPARDI DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZUPPARDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-331-2442
Mailing Address - Street 1:536 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:EAST WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189
Mailing Address - Country:US
Mailing Address - Phone:781-331-2442
Mailing Address - Fax:781-337-8981
Practice Address - Street 1:536 BROAD ST
Practice Address - Street 2:
Practice Address - City:EAST WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189
Practice Address - Country:US
Practice Address - Phone:781-331-2442
Practice Address - Fax:781-337-8981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty