Provider Demographics
NPI:1023407053
Name:FISCHER, ZIEGLER AND LUNDBERG ORTHODONTICS
Entity type:Organization
Organization Name:FISCHER, ZIEGLER AND LUNDBERG ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:802-476-6373
Mailing Address - Street 1:85 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-4297
Mailing Address - Country:US
Mailing Address - Phone:802-476-6373
Mailing Address - Fax:802-476-8967
Practice Address - Street 1:85 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-4297
Practice Address - Country:US
Practice Address - Phone:802-476-6373
Practice Address - Fax:802-476-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT10251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty