Provider Demographics
NPI:1316559495
Name:PEKAR, ZACHARY (DDS)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:PEKAR
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 1:44255 HIGHWAY 299 E
Mailing Address - Street 2:
Mailing Address - City:MCARTHUR
Mailing Address - State:CA
Mailing Address - Zip Code:96056-8571
Mailing Address - Country:US
Mailing Address - Phone:530-336-6142
Mailing Address - Fax:
Practice Address - Street 1:44255 HIGHWAY 299 E
Practice Address - Street 2:
Practice Address - City:MCARTHUR
Practice Address - State:CA
Practice Address - Zip Code:96056-8571
Practice Address - Country:US
Practice Address - Phone:530-336-6142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1064771223G0001X
AR44551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice