Provider Demographics
NPI:1982875340
Name:ZAFFER, JOHN T (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:ZAFFER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:526 CRESCENT BLVD
Mailing Address - Street 2:STE. 224
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4176
Mailing Address - Country:US
Mailing Address - Phone:630-469-1006
Mailing Address - Fax:630-469-9122
Practice Address - Street 1:526 CRESCENT BLVD
Practice Address - Street 2:SUITE 224
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4176
Practice Address - Country:US
Practice Address - Phone:630-469-1006
Practice Address - Fax:630-469-9122
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice