Provider Demographics
NPI:1154675874
Name:PITCHER, ZACHARY PAUL (DMD, MDS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:PAUL
Last Name:PITCHER
Suffix:
Gender:M
Credentials:DMD, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 28 1/4 RD UNIT E
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-6022
Mailing Address - Country:US
Mailing Address - Phone:970-523-6333
Mailing Address - Fax:
Practice Address - Street 1:601 28 1/4 RD UNIT E
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-6022
Practice Address - Country:US
Practice Address - Phone:970-523-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics