Provider Demographics
NPI:1992725642
Name:ZONIES, STEPHEN LEWIS (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LEWIS
Last Name:ZONIES
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 1:754 STAGECOACH RD
Mailing Address - Street 2:
Mailing Address - City:FAYSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05673-7092
Mailing Address - Country:US
Mailing Address - Phone:802-496-2434
Mailing Address - Fax:
Practice Address - Street 1:138 FIDDLERS GRN
Practice Address - Street 2:UNIT 1
Practice Address - City:WAITSFIELD
Practice Address - State:VT
Practice Address - Zip Code:05673-6007
Practice Address - Country:US
Practice Address - Phone:802-496-2524
Practice Address - Fax:802-329-2085
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT5921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice