Provider Demographics
NPI:1750435137
Name:ZIEG, DAVID C (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:ZIEG
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 1:6301 HAVELOCK AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507
Mailing Address - Country:US
Mailing Address - Phone:402-466-2241
Mailing Address - Fax:402-466-2365
Practice Address - Street 1:6301 HAVELOCK AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507
Practice Address - Country:US
Practice Address - Phone:402-466-2241
Practice Address - Fax:402-466-2365
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5604122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist