Provider Demographics
NPI:1699840330
Name:HODGINS, ZACHARY WILLIAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:WILLIAM
Last Name:HODGINS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 ORANGE AVE
Mailing Address - Street 2:#106
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:407-647-1744
Mailing Address - Fax:407-647-0139
Practice Address - Street 1:1350 ORANGE AVE
Practice Address - Street 2:#106
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789
Practice Address - Country:US
Practice Address - Phone:407-647-1744
Practice Address - Fax:407-647-0139
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15265122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist