Provider Demographics
NPI:1558426353
Name:SCHOENGOLD ZICCHINOLFI PC
Entity type:Organization
Organization Name:SCHOENGOLD ZICCHINOLFI PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZICCHINOLFI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-887-1040
Mailing Address - Street 1:261 OLD YORK ROAD
Mailing Address - Street 2:SUITE 323
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3706
Mailing Address - Country:US
Mailing Address - Phone:215-887-1040
Mailing Address - Fax:215-887-1020
Practice Address - Street 1:261 OLD YORK ROAD
Practice Address - Street 2:SUITE 323
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-887-1040
Practice Address - Fax:215-887-1020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty