DR. JACOB WOODROW ZELLNER DMD, MS
NPI 1538720222
Dentist - Periodontics in Tallahassee, FL

Active since June 24, 2019
2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL 32308(850) 562-6111(850) 562-7263 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2022, Sep 14, 2019, Jul 17, 2019 (3 updates tracked since 2019).

About Dr. Jacob Woodrow Zellner Dmd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB WOODROW ZELLNER DMD, MS (NPI 1538720222) is an individual periodontics provider in Tallahassee, Florida, licensed in Florida (DN24083) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1538720222
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JACOB WOODROW ZELLNERCredential: DMD, MS
Location Address2160 CAPITAL CIR NE STE 100Tallahassee, FL 32308-4391
Mailing Address2160 Capital Cir Ne Ste 100Tallahassee, FL 32308-4391 · (850) 562-6111 · Fax (850) 562-7263
Fax(850) 562-7263
Sole ProprietorNo
Enumeration DateJune 24, 2019
Last NPPES UpdateMay 14, 20223 updates tracked since enumeration
NPPES CertifiedMay 14, 2022
NPI 1538720222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in FL · DN24083
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2160 CAPITAL CIR NE STE 100, Tallahassee, FL 32308

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jacob Woodrow Zellner Dmd, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2024 through May 29, 2026.

Opt-Out Effective DateMay 29, 2024
Opt-Out In Effect ThroughMay 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2160 CAPITAL CIR NE STE 100
TALLAHASSEE, FL 32308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538720222, enumerated as an "individual" on June 24, 2019.

The provider is located at 2160 CAPITAL CIR NE STE 100 TALLAHASSEE, FL 32308 and the phone number is (850) 562-6111.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.