Provider Demographics
NPI:1285364638
Name:ZINS, KARI LEE (DMD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:LEE
Last Name:ZINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LEE
Other - Last Name:PETERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15820 N 74TH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-1817
Mailing Address - Country:US
Mailing Address - Phone:541-915-3004
Mailing Address - Fax:
Practice Address - Street 1:44480 W HONEYCUTT RD STE 110
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2909
Practice Address - Country:US
Practice Address - Phone:520-568-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0114051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice