Provider Demographics
NPI:1184323958
Name:ZIENTEK, JORDAN (DDS)
Entity type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:
Last Name:ZIENTEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8715 W. PARMER LANE
Mailing Address - Street 2:BLDG 2, SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729
Mailing Address - Country:US
Mailing Address - Phone:512-258-3384
Mailing Address - Fax:512-258-9433
Practice Address - Street 1:8715 W. PARMER LANE
Practice Address - Street 2:BLDG 2, SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729
Practice Address - Country:US
Practice Address - Phone:512-258-3384
Practice Address - Fax:512-258-9433
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX413771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program