Provider Demographics
NPI:1912292707
Name:LECHNER, ZACHARY JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:JOHN
Last Name:LECHNER
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:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:STEWARTVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55976-0008
Mailing Address - Country:US
Mailing Address - Phone:507-533-7735
Mailing Address - Fax:507-533-8852
Practice Address - Street 1:100 SECOND STREET SE
Practice Address - Street 2:1
Practice Address - City:STEWARTVILLE
Practice Address - State:MN
Practice Address - Zip Code:55976
Practice Address - Country:US
Practice Address - Phone:507-533-7735
Practice Address - Fax:507-533-8852
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND129641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN837637000Medicaid