Provider Demographics
NPI:1548309586
Name:ZIRNHELD, JOLENE (DMD)
Entity type:Individual
Prefix:DR
First Name:JOLENE
Middle Name:
Last Name:ZIRNHELD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JOLENE
Other - Middle Name:
Other - Last Name:ZIRNHELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:4010 DUPONT CIR
Mailing Address - Street 2:SUITE 469
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4812
Mailing Address - Country:US
Mailing Address - Phone:502-893-5225
Mailing Address - Fax:502-893-5267
Practice Address - Street 1:4010 DUPONT CIR
Practice Address - Street 2:SUITE 469
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4812
Practice Address - Country:US
Practice Address - Phone:502-893-5225
Practice Address - Fax:502-893-5267
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY69511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice