| Jennifer L Zoll, Dds, Llc | |
|
3036 W Sylvania Ave Toledo OH 43613-4128 | |
| (419) 474-0733 | |
| (419) 474-5407 |
| Full Name | Jennifer L Zoll, Dds, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3036 W Sylvania Ave, Toledo, Ohio |
| Authorized Official Name and Position | Jennifer Lynn Zoll (OWNER) |
| Authorized Official Contact | 4194740733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Zoll, Dds, Llc 3036 W Sylvania Ave Toledo OH 43613-4128 Ph: (419) 474-0733 | Jennifer L Zoll, Dds, Llc 3036 W Sylvania Ave Toledo OH 43613-4128 Ph: (419) 474-0733 |
| NPI Number | 1609262443 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609262443 | NPI | - | NPPES |
| 0701520 | Medicaid | OH | |
| 3116372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18423 (Ohio) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 022954 (Ohio) | Secondary |
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