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NPI Code Detail

MEDICARE: DR. TIMOTHY JASON ZIGLER D.D.S.

MEDICARE: DR. TIMOTHY JASON ZIGLER D.D.S.
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
11223G0001XGeneral Practice Dentistry30.024137OH
21223G0001XGeneral Practice Dentistry12011798AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598014037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY JASON ZIGLER D.D.S.
Provider Business Mailing Address
First Line : 2132 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1991
Country : US
Telephone Number : 937-528-6830
Fax Number : 937-528-6840
Provider Business Practice Location Address
First Line : 2132 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1991
Country : US
Telephone Number : 937-528-6830
Fax Number : 937-528-6840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 09/23/2022

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