Provider Demographics
NPI:1154851145
Name:ZIEGLER, ALEXANDER JACOB (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JACOB
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 1:5650 NORTHBORO DR APT 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-9042
Mailing Address - Country:US
Mailing Address - Phone:814-602-8332
Mailing Address - Fax:
Practice Address - Street 1:15795 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-5417
Practice Address - Country:US
Practice Address - Phone:305-547-8390
Practice Address - Fax:305-233-3909
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL247081223P0221X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program