Provider Demographics
NPI:1326709270
Name:ZACHARY A BIRD DMD PLLC.
Entity Type:Organization
Organization Name:ZACHARY A BIRD DMD PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:253-579-4101
Mailing Address - Street 1:4707 S JUNETT ST STE A
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-6480
Mailing Address - Country:US
Mailing Address - Phone:253-475-8934
Mailing Address - Fax:253-472-0402
Practice Address - Street 1:4707 S JUNETT ST STE A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-6480
Practice Address - Country:US
Practice Address - Phone:253-475-8934
Practice Address - Fax:253-472-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty