Provider Demographics
NPI:1598572828
Name:ISAAC P. ZISBLATT DMD PLLC
Entity type:Organization
Organization Name:ISAAC P. ZISBLATT DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZISBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-527-6507
Mailing Address - Street 1:40 CHURCH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2093
Mailing Address - Country:US
Mailing Address - Phone:508-295-3388
Mailing Address - Fax:508-295-3289
Practice Address - Street 1:40 CHURCH AVE STE 101
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2093
Practice Address - Country:US
Practice Address - Phone:508-295-3388
Practice Address - Fax:508-295-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental