Provider Demographics
NPI:1528597051
Name:ZEHRINGER, NOAH
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:ZEHRINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 MAPLE ST S
Mailing Address - Street 2:
Mailing Address - City:TURTLE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54889-8003
Mailing Address - Country:US
Mailing Address - Phone:715-986-2599
Mailing Address - Fax:
Practice Address - Street 1:212 MAPLE ST S
Practice Address - Street 2:
Practice Address - City:TURTLE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54889-8003
Practice Address - Country:US
Practice Address - Phone:715-986-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10015561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice