Provider Demographics
NPI:1134347172
Name:ZUSSELMAN, ARNOLD RAYMOND (DMD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:RAYMOND
Last Name:ZUSSELMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 NW 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2099
Mailing Address - Country:US
Mailing Address - Phone:561-276-7303
Mailing Address - Fax:
Practice Address - Street 1:801 N CONGRESS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3315
Practice Address - Country:US
Practice Address - Phone:561-732-6900
Practice Address - Fax:561-732-6255
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13888122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist