Individual provider Active NPI

Gabrielle Zuzo, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plymouth, MI
National Provider Identifier
1265880058
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901021835 Issued in MI
Practice address
49477 Ann Arbor Rd W
Plymouth, MI 48170-3206
Phone
(734) 392-8500
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901021835 MI Primary

Addresses

Primary practice location

49477 Ann Arbor Rd W
Plymouth, MI 48170-3206

Mailing address

49477 Ann Arbor Rd W
Plymouth, MI 48170-3206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901021835MIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zuzo Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jan 17, 2022 Accepting new patients
Charles F. Munk, DDS, PC Orthodontics and Dentofacial Orthopedics PastSince Jul 1, 2021 Accepting new patients
Munk & Associates Orthodontics PLLC Orthodontics and Dentofacial Orthopedics PastSince Jul 1, 2021 Accepting new patients

Locations

49477 Ann Arbor Rd W
Plymouth, MI 48170
Phone (734) 392-8500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1265880058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49477 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49477 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703206",
            "telephone_number": "734-392-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUZO",
        "first_name": "GABRIELLE",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901021835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.