Provider Demographics
NPI:1306860838
Name:ZEICHNER, JONATHAN ERIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ERIC
Last Name:ZEICHNER
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 1:57 E 72ND ST
Mailing Address - Street 2:1 B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4122
Mailing Address - Country:US
Mailing Address - Phone:212-772-3355
Mailing Address - Fax:212-772-3357
Practice Address - Street 1:57 E 72ND ST
Practice Address - Street 2:1 B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4122
Practice Address - Country:US
Practice Address - Phone:212-772-3355
Practice Address - Fax:212-772-3357
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0314941223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics