Provider Demographics
NPI:1306228929
Name:KARAM, ZACHARY LEITHMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:LEITHMAN
Last Name:KARAM
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 1:848 TERRY PKWY
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-5202
Mailing Address - Country:US
Mailing Address - Phone:504-392-4222
Mailing Address - Fax:
Practice Address - Street 1:848 TERRY PKWY
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-5202
Practice Address - Country:US
Practice Address - Phone:504-392-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6547122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist