Provider Demographics
NPI:1952472284
Name:ZIEGENHORN, GENE ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:ALAN
Last Name:ZIEGENHORN
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 1:902 S MORGAN AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:ANDREWS
Mailing Address - State:SC
Mailing Address - Zip Code:29510
Mailing Address - Country:US
Mailing Address - Phone:843-264-3539
Mailing Address - Fax:843-264-3539
Practice Address - Street 1:902 S MORGAN AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:ANDREWS
Practice Address - State:SC
Practice Address - Zip Code:29510
Practice Address - Country:US
Practice Address - Phone:843-264-3539
Practice Address - Fax:843-264-3530
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3146122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist