Zdep DDS & Shallish DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33833 Issued in NY

Legal business name

ZDEP DDS & SHALLISH DMD PC

Practice address

3930 E Genesee St
Syracuse, NY 13214-1934

Phone

(315) 471-6188

Fax

(315) 471-0271

NPI assigned

Aug 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven R Zdep, DDS

Title

President

Phone

(315) 471-6188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zdep DDS & Zdep DDS PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott William Shallish, D.M.D.

  • Dentist
  • Syracuse, NY
  • NPI 1780812123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1174534440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-471-6188",
            "fax_number": "315-471-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-471-6188",
            "fax_number": "315-471-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZDEP DDS & SHALLISH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "ZDEP",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-471-6188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03083410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zdep DDS & Zdep DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole Zanghi, MD
• Madison Zapisek
• Zarina Smith NP in Family Health Pediatrics and Psychiatry PLLC (Help and Healing Outreach)
• Wasim Zatar, MD
• Daniel Zauski, CRNA
• Steven R Zdep, DDS
• Zakiya Folami Zeahwon, NP
• Paula Lynn Zebrowski, MD
• Colleen Ann Zeck, MS, CCC-SLP
• Nabil Zeineddine, MD

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.