# ZAVISLAK AND PORTER DDS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Park Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245382274
- **Authorized official:** DR. ROBERT LEE ZAVISLAK DDS (PRESIDENT)
- **Authorized official phone:** (540) 786-9559

## Contact information

- **Practice address:** 1340 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4940
- **Practice address phone:** (540) 786-9559
- **Practice address fax:** (540) 786-1119
- **Mailing address:** 1340 CENTRAL PARK BLVD, SUITE 200, FREDERICKSBURG, VA 22401-4940
- **Mailing address phone:** (540) 786-9559
- **Mailing address fax:** (540) 786-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4018218 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 4018811 | VA | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020