Provider Demographics
NPI:1427405414
Name:LOCKLEAR, ZONYA (DDS)
Entity Type:Individual
Prefix:
First Name:ZONYA
Middle Name:
Last Name:LOCKLEAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 WESLEY PINES RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2105
Mailing Address - Country:US
Mailing Address - Phone:910-802-4777
Mailing Address - Fax:910-887-2202
Practice Address - Street 1:725 WESLEY PINES RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2105
Practice Address - Country:US
Practice Address - Phone:910-802-4777
Practice Address - Fax:910-887-2202
Is Sole Proprietor?:No
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC058751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice