Philip J Zinser, D.D.S.

Individual provider Active NPI General Practice Dentistry · Mescalero, NM

NPI 1386664282 · NPPES record last updated Sep 6, 2008

Key facts

NPI
1386664282
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN10211 (FL)
Practice address
Mescalero IHS Indian Hospital
318 Abalone Loop
Mescalero, NM 88340
Phone
(575) 464-3831
Fax
(575) 464-4422
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN10211FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10211 FL Yes

Addresses

Primary practice location

Mescalero IHS Indian Hospital
318 Abalone Loop
Mescalero, NM 88340

Mailing address

PO Box 95
Mescalero, NM 88340-0095
Phone (575) 464-0734

Other providers in Mescalero, NM

All providers in Mescalero, NM · General Practice Dentistry in New Mexico

Sources for this page

Verify at the official NPI Registry.