Provider Demographics
NPI:1972872844
Name:ZINN, AMY LYNN (DDS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:ZINN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:BRENNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17821 HIGHWAY 7 STE 2F
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-4123
Mailing Address - Country:US
Mailing Address - Phone:952-474-5622
Mailing Address - Fax:
Practice Address - Street 1:17821 HIGHWAY 7 STE 2F
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-4123
Practice Address - Country:US
Practice Address - Phone:952-474-5622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN129971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice