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I Zak DDS Prof Dental Corp

NPI 1487208773ActiveOrganization· Dentist· San Leandro, CA

Dentist in San Leandro, California, registered in NPPES in July 2019. The authorized official on file is Ilya Zak, DDS, Ceo/President.

Overview

NPI1487208773
StatusActive
Entity typeOrganization
NPI issuedJul 25, 2019
Last updated in NPPESJul 25, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——
Dentist, Endodontics1223E0200X——
Dentist, General Practice1223G0001X——
Dentist, Oral and Maxillofacial Pathology1223P0106X——
Dentist, Pediatric Dentistry1223P0221X——
Dentist, Periodontics1223P0300X——
Dentist, Prosthodontics1223P0700X——
Dentist, Oral and Maxillofacial Surgery1223S0112X——
Dentist, Orthodontics and Dentofacial Orthopedics1223X0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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