Provider Demographics
NPI:1528314853
Name:ZION, HARVEY STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:STEVEN
Last Name:ZION
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 MACON TECH DR
Mailing Address - Street 2:BLDG J
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-3628
Mailing Address - Country:US
Mailing Address - Phone:478-757-3488
Mailing Address - Fax:478-757-3489
Practice Address - Street 1:3300 MACON TECH DR
Practice Address - Street 2:BLDG J
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-3628
Practice Address - Country:US
Practice Address - Phone:478-757-3488
Practice Address - Fax:478-757-3489
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN008108122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist