Healthcare Provider Details

I. General information

NPI: 1932259207
Provider Name (Legal Business Name): MAURICE CHRISTIAN ZAEPFEL II D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4044 MORSE RD
COLUMBUS OH
43230-1448
US

IV. Provider business mailing address

1523 STATE ST
NEW ALBANY IN
47150
US

V. Phone/Fax

Practice location:
  • Phone: 614-473-0400
  • Fax: 913-752-9116
Mailing address:
  • Phone: 812-944-9929
  • Fax: 812-948-1835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number5037
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12010015A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.025311
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: