Michael R Zetz, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30-017111 Issued in OH

Practice address

4181 Holiday St NW
Canton, OH 44718-2531

Phone

(330) 493-1605

Fax

(330) 493-9308

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute of Jaw and Facial Surgery Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Canton, OH
  • NPI 1689647018
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1215019799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-493-1605",
            "fax_number": "330-493-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-493-1605",
            "fax_number": "330-493-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETZ",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-017111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L Zeglin, ACNP-BC
• Griffen Zemrock
• Nikki Zender, LPN
• Kristina Marie Zeren, LSW, CDCA
• Ashley Gibbs Zerweck, D.M.D
• Pei Jun Zhao, MD
• Hongmeng Zhou, DMD
• Min Zhou, M.D.
• J Richard Ziegler, MD
• Joe Michael Ziegler

• Oral and Maxillofacial Surgery (Dentist) in Canton, OH
• Providers in Canton, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.