Provider Demographics
NPI:1760535231
Name:ZAHNER DENTAL, LLC
Entity Type:Organization
Organization Name:ZAHNER DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZAHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-870-9031
Mailing Address - Street 1:3 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-3317
Mailing Address - Country:US
Mailing Address - Phone:860-870-9031
Mailing Address - Fax:860-871-2964
Practice Address - Street 1:3 MAIN ST
Practice Address - Street 2:
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-3317
Practice Address - Country:US
Practice Address - Phone:860-870-9031
Practice Address - Fax:860-871-2964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty