# DR. DAVID JAMES ZEGARELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346251170
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 028200-1 | NY | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 028200-1 | NY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 028200-1 | NY | — |
| 207ZP0101X | Anatomic Pathology Physician | 028200-1 | NY | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 028200-1 | NY | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 12/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0057843 | — | NJ |
| 01 | — | 02Q131 | EMPIRE BCBS | NY |
