Provider Demographics
NPI:1194811869
Name:ZUCKER, MARC D (DDS)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:D
Last Name:ZUCKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 NORMANDY DRIVE
Mailing Address - Street 2:
Mailing Address - City:MT. LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054
Mailing Address - Country:US
Mailing Address - Phone:856-840-0920
Mailing Address - Fax:
Practice Address - Street 1:254 GIBBSBORO ROAD
Practice Address - Street 2:
Practice Address - City:LINDENOWLD
Practice Address - State:NJ
Practice Address - Zip Code:08021
Practice Address - Country:US
Practice Address - Phone:856-738-8777
Practice Address - Fax:856-783-6891
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice