Provider Demographics
NPI:1639212814
Name:HANNY K. ZAKHARI, DMD, PA
Entity Type:Organization
Organization Name:HANNY K. ZAKHARI, DMD, PA
Other - Org Name:ZAKHARI DENTAL ARTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNY
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZAKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-727-8822
Mailing Address - Street 1:401 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4240
Mailing Address - Country:US
Mailing Address - Phone:321-727-8822
Mailing Address - Fax:321-727-0074
Practice Address - Street 1:401 5TH AVE
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4240
Practice Address - Country:US
Practice Address - Phone:321-727-8822
Practice Address - Fax:321-727-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN124361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty