IndividualActive
Andrew Zegeer
NPI 1083068811 · Periodontics · Charleston, WV
Provider details
- NPI number
- 1083068811
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9889 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
112 Morris Street, Ste 2
Charleston, WV 25301
Phone: (304) 833-9033
Fax: (304) 840-0216
Approximate (ZIP-level) locationGet directions
Mailing address
112 Morris Street, Ste 2
Charleston, WV 25301
Registry dates
- Enumerated
- 2016-04-18
- Last updated
- 2022-03-30
- Certified
- 2022-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.