Provider Demographics
NPI:1457547952
Name:ZIEGLER, NEAL (DDS)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:ZIEGLER
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 1:715 BAYSHORE DR APT 602
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3990
Mailing Address - Country:US
Mailing Address - Phone:954-612-3687
Mailing Address - Fax:
Practice Address - Street 1:1000 WOODCOCK RD STE 120
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3509
Practice Address - Country:US
Practice Address - Phone:407-792-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN6483122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist