Provider Demographics
NPI:1093721060
Name:TRUMAN, ZACHARY B (DDS MSD)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:B
Last Name:TRUMAN
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:DR
Other - First Name:ZACHARY
Other - Middle Name:B
Other - Last Name:TRUMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD MSD
Mailing Address - Street 1:880 SEVEN HILLS DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:702-221-2272
Mailing Address - Fax:702-222-3277
Practice Address - Street 1:10855 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5704
Practice Address - Country:US
Practice Address - Phone:702-221-2272
Practice Address - Fax:702-222-3277
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS3641223X0400X
NVS3-641223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics