Provider Demographics
NPI:1104563584
Name:ASHLEY ZEHNDER DMD LLC
Entity type:Organization
Organization Name:ASHLEY ZEHNDER DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:YAEGER
Authorized Official - Last Name:ZEHNDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:812-738-1261
Mailing Address - Street 1:161 DAVIDSON LN SW
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-1811
Mailing Address - Country:US
Mailing Address - Phone:270-779-9133
Mailing Address - Fax:
Practice Address - Street 1:1910 ALLISON LN NW
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2035
Practice Address - Country:US
Practice Address - Phone:812-738-7495
Practice Address - Fax:812-738-7495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental