Healthcare Provider Details

I. General information

NPI: 1891664108
Provider Name (Legal Business Name): JACOB LOGAN ZEILER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 PERKINS RD STE 345
BATON ROUGE LA
70808-2293
US

IV. Provider business mailing address

3535 PERKINS RD STE 345
BATON ROUGE LA
70808-2293
US

V. Phone/Fax

Practice location:
  • Phone: 225-747-0181
  • Fax:
Mailing address:
  • Phone: 225-747-0181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7740
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: