Provider Demographics
NPI:1346411154
Name:J. STEVEN ZEH, DMD, MS, PSC
Entity Type:Organization
Organization Name:J. STEVEN ZEH, DMD, MS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ZEH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-969-6229
Mailing Address - Street 1:4814 OUTER LOOP
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-3302
Mailing Address - Country:US
Mailing Address - Phone:502-969-6229
Mailing Address - Fax:502-969-2563
Practice Address - Street 1:4814 OUTER LOOP
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-3302
Practice Address - Country:US
Practice Address - Phone:502-969-6229
Practice Address - Fax:502-969-2563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty