Provider Demographics
NPI:1851595250
Name:ZEIGLER, MARK DONALD (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:DONALD
Last Name:ZEIGLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 RIVERCHASE LN
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-8336
Mailing Address - Country:US
Mailing Address - Phone:724-923-0286
Mailing Address - Fax:
Practice Address - Street 1:183 RIVERCHASE LN
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-8336
Practice Address - Country:US
Practice Address - Phone:724-923-0286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037146122300000X
OH30.022626122300000X
NC11685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist