Provider Demographics
NPI:1154851145
Name:ZIEGLER, ALEXANDER JACOB (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JACOB
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 ASHLEY OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6404
Mailing Address - Country:US
Mailing Address - Phone:814-602-8332
Mailing Address - Fax:888-520-4252
Practice Address - Street 1:2242 ASHLEY OAKS CIR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6404
Practice Address - Country:US
Practice Address - Phone:813-991-5300
Practice Address - Fax:888-520-4252
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL247081223P0221X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program