National Provider Identifier
Fanrui Zeng, DDS
Fanrui Zeng, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Ithaca, NY and a listed phone number of (732) 458-6799.
Profile Overview
- NPI
- 1508131228
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 13, 2012
- Last Updated
- September 08, 2014
Practice Location
- 509 Lake St Apt D4
- Ithaca, NY 14850-2163
Phone: (732) 458-6799
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1508131228
- Entity Type
- Individual
- Last Name
- Zeng
- First Name
- Fanrui
- Credential
- DDS
- Mailing Street Address
- 509 Lake St Apt D4
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2163
- Mailing Country
- US
- Practice Street Address
- 509 Lake St Apt D4
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2163
- Practice Country
- US
- Practice Phone
- (732) 458-6799
- Enumeration Date
- March 13, 2012
- Last Updated
- September 08, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 03749548 (NY)