MEDICARE: DR. ALEXANDER JACOB ZIEGLER DDS

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	1223P0221X	Pediatric Dentistry	7754	LA
2	1223P0221X	Pediatric Dentistry	24708	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

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

General Provider Information

NPI Number	:	1154851145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER JACOB ZIEGLER DDS

Provider Business Mailing Address
First Line	:	6220 LAKE SHORE DR
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-1052
Country	:	US
Telephone Number	:	814-602-8332
Fax Number	:

Provider Business Practice Location Address
First Line	:	4325 AIRLINE DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-2003
Country	:	US
Telephone Number	:	318-742-9333
Fax Number	:

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

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	01/09/2026

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