Provider Demographics
NPI:1497449490
Name:ZEHAK, KAYLEIGH JEAN (DMD)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:JEAN
Last Name:ZEHAK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 KANNAPOLIS PKWY
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8215
Mailing Address - Country:US
Mailing Address - Phone:704-273-5020
Mailing Address - Fax:
Practice Address - Street 1:582 KANNAPOLIS PKWY
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28027-8215
Practice Address - Country:US
Practice Address - Phone:704-273-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC141371223G0001X
AZD0117891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice