Provider Demographics
NPI:1588332308
Name:ZELDER FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:ZELDER FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-559-8731
Mailing Address - Street 1:407 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2167
Mailing Address - Country:US
Mailing Address - Phone:412-559-8731
Mailing Address - Fax:
Practice Address - Street 1:400 DUNCAN STATION RD
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15135-3333
Practice Address - Country:US
Practice Address - Phone:412-751-7710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental