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ZDEP DDS & SHALLISH DMD PC
NPI 1174534440
Dentist - General Practice in Syracuse, NY

Active since August 11, 2006
3930 E GENESEE ST, SYRACUSE, NY 13214(315) 471-6188(315) 471-0271 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zdep Dds & Shallish Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZDEP DDS & SHALLISH DMD PC (NPI 1174534440), doing business as Zdep Dds & Zdep Dds Pc, is a healthcare organization registered as a general practice in Syracuse, New York and active in the NPI registry since August 2006. The organization lists Steven R Zdep, President, as its authorized official.

NPPES Registry Identity

NPI1174534440
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameZDEP DDS & SHALLISH DMD PC
Location Address3930 E GENESEE STSyracuse, NY 13214-1934
Mailing Address3930 E Genesee StSyracuse, NY 13214-1934 · (315) 471-6188 · Fax (315) 471-0271
Phone(315) 471-6188
Fax(315) 471-0271
Organization SubpartNo
Authorized OfficialSteven R ZdepPresident · (315) 471-6188
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 6, 2019
✔ NPI 1174534440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 33833
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3930 E GENESEE ST, Syracuse, NY 13214
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Other Names 1

Former Legal Business NameZdep Dds & Zdep Dds Pc

Other Identifiers 1

Medicaid03083410NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT WILLIAM SHALLISH D.M.D.
Dentist
3930 E GENESEE ST
SYRACUSE, NY 13214
Onondaga County (315) 471-6188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zdep Dds & Shallish Dmd PC's NPI number?

The NPI number for Zdep Dds & Shallish Dmd PC is 1174534440. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider was formerly known as Zdep Dds & Zdep Dds PC.

Where is Zdep Dds & Shallish Dmd PC located?

Zdep Dds & Shallish Dmd PC is located at 3930 E Genesee St, Syracuse, NY 13214. The listed phone number is (315) 471-6188.

What is Zdep Dds & Shallish Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Zdep Dds & Shallish Dmd PC was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.