Provider Demographics
NPI:1205934981
Name:ZEITLER, DEBORAH L (DDS MS)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:L
Last Name:ZEITLER
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 NORTHGATE DR.
Mailing Address - Street 2:SUITE 2
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9568
Mailing Address - Country:US
Mailing Address - Phone:319-338-5484
Mailing Address - Fax:319-338-9413
Practice Address - Street 1:2814 NORTHGATE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9513
Practice Address - Country:US
Practice Address - Phone:319-338-5484
Practice Address - Fax:319-338-9413
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA063491223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2193227Medicaid
IA2193227Medicaid
IAI15364Medicare ID - Type UnspecifiedMEDICARE NUMBER