Healthcare Provider Details

I. General information

NPI: 1093331522
Provider Name (Legal Business Name): STEPHEN ALAN ZAHM DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 E COUNTY LN RD STE A1
INDIANAPOLIS IN
46227
US

IV. Provider business mailing address

1030 E COUNTY LN RD STE A1
INDIANAPOLIS IN
46227
US

V. Phone/Fax

Practice location:
  • Phone: 317-854-4540
  • Fax:
Mailing address:
  • Phone: 317-854-4540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12013404A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: