Provider Demographics
NPI:1437314234
Name:ADKINS, ZACHARY EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:EDWARD
Last Name:ADKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:ZACH
Other - Middle Name:EDWARD
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3900 EUBANK BLVD NE
Mailing Address - Street 2:SUITE 17
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111
Mailing Address - Country:US
Mailing Address - Phone:505-293-6705
Mailing Address - Fax:505-293-6852
Practice Address - Street 1:3900 EUBANK BLVD NE
Practice Address - Street 2:SUITE 17
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111
Practice Address - Country:US
Practice Address - Phone:505-293-6705
Practice Address - Fax:505-293-6852
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD3007122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist