Individual
JASON ZITTERKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204 W 36TH ST, SCOTTSBLUFF, NE 69361-4654
(308) 632-7414
Mailing address
204 W 36TH ST, SCOTTSBLUFF, NE 69361-4654
(308) 632-7414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7152
NE
Other
Enumeration date
06/06/2014
Last updated
07/29/2015
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