Provider Demographics
NPI:1629020813
Name:ZWOYER, JEFF R (DMD)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:R
Last Name:ZWOYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 E 17TH ST
Mailing Address - Street 2:STE W234
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-2201
Mailing Address - Country:US
Mailing Address - Phone:714-542-4413
Mailing Address - Fax:714-542-4204
Practice Address - Street 1:1125 E 17TH ST
Practice Address - Street 2:STE W234
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-2201
Practice Address - Country:US
Practice Address - Phone:714-542-4413
Practice Address - Fax:714-542-4204
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA295401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics