Provider Demographics
NPI:1194955575
Name:KOPF, ZACHARY AARON (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:AARON
Last Name:KOPF
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 1:1300 VERGES AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3639
Mailing Address - Country:US
Mailing Address - Phone:402-371-0886
Mailing Address - Fax:402-371-9596
Practice Address - Street 1:1300 VERGES AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3639
Practice Address - Country:US
Practice Address - Phone:402-371-0886
Practice Address - Fax:402-371-9596
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE68321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice