Provider Demographics
NPI:1639605413
Name:COLE, ZACHARIAH WILLIAM (DMD, MD)
Entity Type:Individual
Prefix:
First Name:ZACHARIAH
Middle Name:WILLIAM
Last Name:COLE
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Gender:M
Credentials:DMD, MD
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Mailing Address - Street 1:1034 S. BRENTWOOD
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117
Mailing Address - Country:US
Mailing Address - Phone:314-721-1010
Mailing Address - Fax:314-721-5276
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLAZA
Practice Address - Street 2:SUITE 203
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-361-6006
Practice Address - Fax:314-453-1675
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2023-08-21
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Provider Licenses
StateLicense IDTaxonomies
MO2022002507204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery