Provider Demographics
NPI:1154200681
Name:RANSOM, ZACHARY WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:WILLIAM
Last Name:RANSOM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:GLEN MORGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25813-7720
Mailing Address - Country:US
Mailing Address - Phone:304-575-2460
Mailing Address - Fax:
Practice Address - Street 1:102 GALLERIA PLZ
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3162
Practice Address - Country:US
Practice Address - Phone:681-207-7063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4813122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist