Provider Demographics
NPI:1154837458
Name:ZHEKU, KRISTI (DMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:
Last Name:ZHEKU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S OLIVE AVE UNIT 201
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5957
Mailing Address - Country:US
Mailing Address - Phone:561-781-4640
Mailing Address - Fax:
Practice Address - Street 1:4512 N FLAGLER DR STE 301
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3897
Practice Address - Country:US
Practice Address - Phone:561-260-5145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice