Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZIVIN PARK
ActiveZIVIN PARK is a Dentist healthcare provider located in PORTAGE, Michigan. NPI 1124409560 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORTAGE, MI
Registration Details
- NPI Number
- 1124409560
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2015 (11.167296596353 yrs)
- Last Updated
- Mar 26, 2021
- License
-
2901021641 (MI)
Practice Information
- Address
-
5200 S WESTNEDGE AVEPORTAGE, MI, 49002Browse MI providers · Browse ZIP 49002
- Phone
- 2693826656
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. STEVE FREDERICK BODEN | DDS | 1831144591 |
| SCOT STROMSTA | DDS | 1700996550 |
| DR. RAHAF KANAWATI | DDS | 1043321482 |
| DR. SUSAN M DENNIS | DDS | 1093826265 |
| DANIEL SIDNEY MAUDLIN | DDS | 1295834059 |
| DR. PAUL RICHARD MASTON | DDS | 1154498426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.