Van Zyl Center for Advanced Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D.S.7305 Issued in TN

Legal business name

VAN ZYL CENTER FOR ADVANCED DENTISTRY

Practice address

1108 Halle Park Cir
Collierville, TN 38017-7084

Phone

(901) 457-7753

Fax

(901) 457-7732

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ettienne R. Van Zyl, D.D.S.

Title

Dentist/Owner

Phone

(901) 457-7753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1659793495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 HALLE PARK CIR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177084",
            "telephone_number": "901-457-7753",
            "fax_number": "901-457-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 HALLE PARK CIR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177084",
            "telephone_number": "901-457-7753",
            "fax_number": "901-457-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN ZYL CENTER FOR ADVANCED DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "VAN ZYL",
        "authorized_official_first_name": "ETTIENNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-457-7753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "D.S.7305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Elizabeth Ulm, M.D.
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• Sharon McClain Vallier, RN
• Victoria Jean Vanacore, PA-C
• Mary Venable, SLP
• Julian Venegas, DO
• Cesar Villareal, RPT
• McKenzi Vinson, PT, DPT

• General Practice Dentistry in Collierville, TN
• Providers in Collierville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.