Provider Demographics
NPI:1588082754
Name:SAPERSTEIN, VINA ZINN (DMD)
Entity type:Individual
Prefix:
First Name:VINA
Middle Name:ZINN
Last Name:SAPERSTEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:VINA
Other - Middle Name:ZINN
Other - Last Name:SAPERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:5750 W THUNDERBIRD RD STE H800
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4675
Mailing Address - Country:US
Mailing Address - Phone:602-978-2100
Mailing Address - Fax:
Practice Address - Street 1:5750 W THUNDERBIRD RD STE H800
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4675
Practice Address - Country:US
Practice Address - Phone:602-978-2100
Practice Address - Fax:602-978-0708
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0098501223X0400X, 1223X0400X
COCO002026121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty