Provider Demographics
NPI:1316166424
Name:ZIZZA, STEVEN ALPHONSE (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALPHONSE
Last Name:ZIZZA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:ME
Mailing Address - Zip Code:04862-4211
Mailing Address - Country:US
Mailing Address - Phone:207-785-4434
Mailing Address - Fax:
Practice Address - Street 1:95 DEPOT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:ME
Practice Address - Zip Code:04862-4211
Practice Address - Country:US
Practice Address - Phone:207-785-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3752122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist