Provider Demographics
NPI:1811016785
Name:ZEPPELIN, DANIEL JAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAY
Last Name:ZEPPELIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S PEORIA ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5712
Mailing Address - Country:US
Mailing Address - Phone:303-751-3321
Mailing Address - Fax:303-368-3633
Practice Address - Street 1:2900 S PEORIA ST
Practice Address - Street 2:UNIT C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5712
Practice Address - Country:US
Practice Address - Phone:303-751-3321
Practice Address - Fax:303-368-3633
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO85521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice