MEDICARE: MISS NEVIN TODD ZEHNER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS024901L	PA

General Provider Information

NPI Number	:	1295898351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NEVIN TODD ZEHNER DMD

Provider Business Mailing Address
First Line	:	306 WEST MARKET STREET
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-1812
Country	:	US
Telephone Number	:	570-366-1925
Fax Number	:	570-366-1879

Provider Business Practice Location Address
First Line	:	306 WEST MARKET STREET
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-1812
Country	:	US
Telephone Number	:	570-366-1925
Fax Number	:	570-366-1879

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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