IndividualActive
Charles Zieba, DMD
NPI 1720092489 · Dentist · Ellisville, MO
Provider details
- NPI number
- 1720092489
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2000169958 (MO)
Specialties & taxonomies
Dental Providers
Practice location
16111 Manchester Road
Suite 202
Ellisville, MO 63011
Phone: (636) 391-6030
Fax: (636) 527-8386
Approximate (ZIP-level) locationGet directions
Mailing address
16111 Manchester Road
Ellisville, MO 63011
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.