Provider Demographics
NPI:1366115958
Name:KHOURY, ZAID H (DDS, PHD, DABOMP)
Entity type:Individual
Prefix:DR
First Name:ZAID
Middle Name:H
Last Name:KHOURY
Suffix:
Gender:M
Credentials:DDS, PHD, DABOMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 DR. D.B. TODD, JR. BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3599
Mailing Address - Country:US
Mailing Address - Phone:615-327-6360
Mailing Address - Fax:
Practice Address - Street 1:1005 DR. D.B. TODD, JR. BOULEVARD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3599
Practice Address - Country:US
Practice Address - Phone:615-327-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115771223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology