Marissa Zimmerman, DMD
Dentist, General Practice in Greenville, OH. Individual provider (NPI-1).
NPI number1619784428
StatusActive
Last updated in NPPESJul 9, 2025
Details
- NPI
- 1619784428
- Entity type
- Individual (NPI-1)
- Name
- Marissa Zimmerman
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2024
- Certification date
- Jun 9, 2025
- Last updated
- Jul 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30.028084 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5735 Meeker RdGreenville, OH 45331-1186
Phone 937-548-9680
Mailing address
5735 Meeker RdGreenville, OH 45331-1180
Phone 860-917-7234
Other practice locations
3450 Lacey Rd
Downers Grove, IL 60515-5430
Downers Grove, IL 60515-5430
Phone 630-743-4500
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