Provider Demographics
NPI:1306956859
Name:BACHEIKOV, ZALMAN H (DDS)
Entity type:Individual
Prefix:DR
First Name:ZALMAN
Middle Name:H
Last Name:BACHEIKOV
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 1:420 LINCOLN RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3019
Mailing Address - Country:US
Mailing Address - Phone:305-532-6795
Mailing Address - Fax:
Practice Address - Street 1:420 LINCOLN RD
Practice Address - Street 2:SUITE 215
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3019
Practice Address - Country:US
Practice Address - Phone:305-532-6795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL84351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice