Provider Demographics
NPI:1598116170
Name:ZUG, DANEEN ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANEEN
Middle Name:ELIZABETH
Last Name:ZUG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-2414
Mailing Address - Country:US
Mailing Address - Phone:717-682-2907
Mailing Address - Fax:
Practice Address - Street 1:24 MARKET SQ
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-2414
Practice Address - Country:US
Practice Address - Phone:717-665-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-25
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040887122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist