Provider Demographics
NPI:1225585060
Name:NEWKIRK, ZACHARY W (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:W
Last Name:NEWKIRK
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 1:3732 WINSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2742
Mailing Address - Country:US
Mailing Address - Phone:910-515-8953
Mailing Address - Fax:
Practice Address - Street 1:5225 SIGMON RD
Practice Address - Street 2:SUITE #130
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1682
Practice Address - Country:US
Practice Address - Phone:910-332-4980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist