Provider Demographics
NPI:1730561416
Name:ZERVAS, ERIN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:ZERVAS
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:DOBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:6230 TYBALT PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5164
Mailing Address - Country:US
Mailing Address - Phone:317-727-6524
Mailing Address - Fax:
Practice Address - Street 1:6230 TYBALT PL
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5164
Practice Address - Country:US
Practice Address - Phone:317-727-6524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011862A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics