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LONNY E ZIETZ D.D.S., M.S.
NPI 1720173529
Dentist - Oral and Maxillofacial Surgery in Grand Rapids, MI

Active since October 04, 2006
2140 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504(616) 791-9600 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lonny E Zietz D.d.s., M.s. NPPES

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

LONNY E ZIETZ D.D.S., M.S. (NPI 1720173529) is an individual oral and maxillofacial surgery provider in Grand Rapids, Michigan, licensed in Michigan (2901009665) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1720173529
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameLONNY E ZIETZCredential: D.D.S., M.S.
Location Address2140 LAKE MICHIGAN DR NWGrand Rapids, MI 49504-4785
Mailing Address2140 Lake Michigan Dr NwGrand Rapids, MI 49504-4785
Phone(616) 791-9600
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 13, 2007
✔ NPI 1720173529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901009665
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2140 LAKE MICHIGAN DR NW, Grand Rapids, MI 49504
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Other Identifiers 4

Other0D111530MI · Bcbsm
Other096650MI · Bcbsd
Medicare ID-Type UnspecifiedCC0861 - 190005423MI · Railroad-medicare
Medicare UPINT97979MI

Other Providers at the Same Location NPPES 6

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

PAUL JEFFREY BROOKS D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Kent County (616) 735-2870
STEVEN W SCHULTZ D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Kent County (616) 735-2870
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF WESTERN MICHIGAN PLC
Oral & Maxillofacial Surgery
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Kent County (616) 791-9600
BRANT A ERBENTRAUT D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Kent County (616) 735-2870
JAMES MARK DOMIN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Kent County (616) 735-2870
DR. VICTOR H MASTAGLIO DDS
Dentist
2140 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504
Kent County (616) 735-2577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lonny Zietz's NPI number?

The NPI number for Lonny Zietz is 1720173529. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Lonny Zietz located?

Lonny Zietz practices at 2140 Lake Michigan Dr NW, Grand Rapids, MI 49504. The listed phone number is (616) 791-9600.

What is Lonny Zietz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Lonny Zietz was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.