Provider Demographics
NPI:1922848985
Name:HUNTSMAN, ZACHARY JAMES (DDS)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:JAMES
Last Name:HUNTSMAN
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 1:1180 N 100 E
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-2425
Mailing Address - Country:US
Mailing Address - Phone:208-851-2032
Mailing Address - Fax:
Practice Address - Street 1:2535 S HIGHWAY 89
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:UT
Practice Address - Zip Code:84302-6729
Practice Address - Country:US
Practice Address - Phone:435-723-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT140040338903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty