Provider Demographics
NPI:1790125904
Name:LINKOUS, ZACHARY MARK (DDS)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:MARK
Last Name:LINKOUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 APPLE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-5615
Mailing Address - Country:US
Mailing Address - Phone:423-312-4224
Mailing Address - Fax:
Practice Address - Street 1:225 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-4630
Practice Address - Country:US
Practice Address - Phone:423-289-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9698122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist