Zola Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9209 Issued in OR

Legal business name

ZOLA DENTAL, LLC

Practice address

1094 Royal CT
Medford, OR 97504-6138

Phone

(541) 776-0050

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Mark Paventy, DMD

Title

Owner

Phone

(509) 475-5367

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1295276913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046138",
            "telephone_number": "541-776-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 ROYAL CT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046138",
            "telephone_number": "541-776-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOLA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PAVENTY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-475-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Zilk, MA, CCC-SLP
• Jeffery Dale Zimmer, DPM
• Sonjja Denise Zimmer, PSS
• Melissa Olena Zivanov, MSW
• Zola Dental Medford LLC
• Anastasia Olga Zukowski
• Sabrina Lee Zuppe
• Anna Zurek, MFT
• Rebecca A Zwart

• General Practice Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.