Provider Demographics
NPI:1295898351
Name:ZEHNER, NEVIN TODD (DMD)
Entity type:Individual
Prefix:MISS
First Name:NEVIN
Middle Name:TODD
Last Name:ZEHNER
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 1:306 WEST MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1812
Mailing Address - Country:US
Mailing Address - Phone:570-366-1925
Mailing Address - Fax:570-366-1879
Practice Address - Street 1:306 WEST MARKET STREET
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1812
Practice Address - Country:US
Practice Address - Phone:570-366-1925
Practice Address - Fax:570-366-1879
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024901L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist