Provider Demographics
NPI:1942501333
Name:ZWERNER, PAUL F II (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:ZWERNER
Suffix:II
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 1:1190 MAPLE AVE.
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-2939
Mailing Address - Country:US
Mailing Address - Phone:812-232-2706
Mailing Address - Fax:812-232-2706
Practice Address - Street 1:1190 MAPLE AVE.
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-2939
Practice Address - Country:US
Practice Address - Phone:812-232-2706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120065461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice