1497876866 NPI number — EMIL ZAKHARY DDS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497876866 NPI number — EMIL ZAKHARY DDS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMIL ZAKHARY DDS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497876866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14689 VALLEY CENTER DR
Provider Second Line Business Mailing Address:
SUITE E101
Provider Business Mailing Address City Name:
VICTORVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92395-4200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-245-0151
Provider Business Mailing Address Fax Number:
760-245-8414

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14689 VALLEY CENTER DR
Provider Second Line Business Practice Location Address:
SUITE E101
Provider Business Practice Location Address City Name:
VICTORVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92395-4200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-245-0151
Provider Business Practice Location Address Fax Number:
760-245-8414
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ZAKHARY
Authorized Official First Name:
EMIL
Authorized Official Middle Name:
AYAD
Authorized Official Title or Position:
PRESIDENT OWNER
Authorized Official Telephone Number:
760-245-0151

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G9268301 . This is a "DENTICAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: G9268302 . This is a "DENTICAL" identifier . This identifiers is of the category "OTHER".




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