Provider Demographics
NPI:1538272794
Name:BABIAK, ZENON (DDS)
Entity type:Individual
Prefix:
First Name:ZENON
Middle Name:
Last Name:BABIAK
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 1:930 HENRIETTA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8502
Mailing Address - Country:US
Mailing Address - Phone:215-663-5775
Mailing Address - Fax:
Practice Address - Street 1:930 HENRIETTA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8502
Practice Address - Country:US
Practice Address - Phone:215-663-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020546L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice