Provider Demographics
NPI:1134344898
Name:SCHWAB, ZACHARY STEPHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:STEPHEN
Last Name:SCHWAB
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 1:6400 COBBS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2571
Mailing Address - Country:US
Mailing Address - Phone:254-776-5727
Mailing Address - Fax:
Practice Address - Street 1:6400 COBBS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2571
Practice Address - Country:US
Practice Address - Phone:254-776-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice