Provider Demographics
NPI:1184147662
Name:GEORGE M. ZAKHARY D.D.S., M.D., INC
Entity type:Organization
Organization Name:GEORGE M. ZAKHARY D.D.S., M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MOUNIR
Authorized Official - Last Name:ZAKHARY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MD
Authorized Official - Phone:405-923-1965
Mailing Address - Street 1:1667 E CALLE VERDE WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-8850
Mailing Address - Country:US
Mailing Address - Phone:405-923-1965
Mailing Address - Fax:
Practice Address - Street 1:215 N FRESNO ST
Practice Address - Street 2:SUITE 490
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701
Practice Address - Country:US
Practice Address - Phone:559-459-4101
Practice Address - Fax:559-459-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery