Zisko, Thomas

Zisko, Thomas is an sole proprietor health care provider with primary practice located at 932 42Nd St , Des Moines IA 50312-2626. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Zisko, Thomas can be contacted via phone (515) 277-3551.

Contact Information

Primary practice address
932 42Nd St Des Moines IA 50312-2626
Phone: (515) 277-3551
Fax: (515) 277-1636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 05905 Iowa

Profile Details

NPI number 1851441596
LBN Legal business name Zisko, Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851441596 NPPES
Iowa MEDICAID 0028050

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