Provider Demographics
NPI:1396020665
Name:NABIL S ZAHKA DMD PC
Entity Type:Organization
Organization Name:NABIL S ZAHKA DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZAHKA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-595-5020
Mailing Address - Street 1:89 N COMMON ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-4334
Mailing Address - Country:US
Mailing Address - Phone:781-595-5020
Mailing Address - Fax:781-595-3620
Practice Address - Street 1:89 N COMMON ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-4334
Practice Address - Country:US
Practice Address - Phone:781-595-5020
Practice Address - Fax:781-595-3620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN215591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0213861Medicaid