ZACKERY ETHAN EADES


Address: 98 Oak Park Dr, Troy, AL 36079-3085
Phone: 2059131969

ZACKERY ETHAN EADES (NPI# 1255985289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255985289
Entity Type Individual
Full Name ZACKERY ETHAN EADES
Credential DMD
Practice Address 98 Oak Park Dr
Troy
AL 36079-3085
Mailing Address Po Box 248
Troy
AL 36081-0248
Practice Telephone 2059131969
Mailing Telephone 3345668266
Enumeration Date 2019-07-29
Last Update Date 2019-07-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 0006649-C1 AL Dental Providers

Office Location

Street Address 98 OAK PARK DR
City TROY
State AL
Zip Code 36079-3085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134774219 Oak Park Dental LLC Dentist 98 Oak Park Dr, Troy, AL 36079-3085 2019-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629591060 Walgreen Co Pharmacy 115 Southland Vlg # C, Troy, AL 36079 2017-07-18
1821138413 Fleming Kirk, LLC Optometrist 97 Oak Park Drive, Troy, AL 36079 2007-02-06
1578625125 Southeast Alabama Rural Health Associates Clinic/Center 1412 Elba Hwy, Troy, AL 36079 2006-12-13
1346259314 Donette Louise Bish Family Medicine 1412 Elba Hwy, Troy, AL 36079 2006-08-07
1922018183 Ben A Smith Family Medicine 1412 Elba Hwy, Troy, AL 36079-0000 2006-08-09
1003826249 Tonya L Richards Nurse Practitioner 1412 Elba Hwy, Troy, AL 36079-0000 2006-08-09
1780694943 Jerry C Roy Pediatrics 1412 Elba Hwy, Troy, AL 36079-0000 2006-08-09
1972513059 John M Blough Family Medicine 1412 Elba Hwy, Troy, AL 36079-0000 2006-08-09
1831563527 Sabrina L Pennington Specialist 104 Emily Ct, Troy, AL 36079-2981 2015-11-18
1073985438 Cherise Renee Crisman Specialist/Technologist 105 Dale Dr, Troy, AL 36079-3012 2015-10-26
Find all providers in zip 36079

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154954550 Lane and Associates Xxxvii Dds Pa Dentist 473 Woods Street, Troy, NC 27371 2020-02-14
1962051292 Simon Park Dentist 172 W Wattles Rd, Troy, MI 48098-4685 2019-09-09
1386298461 Michelle Mari Szewczyk Dentist 755 W Big Beaver Rd Ste 250, Troy, MI 48084-4903 2019-07-28
1801449079 Daniel Brystowski Dentist 650 E Big Beaver Rd Ste D, Troy, MI 48083-1432 2019-07-17
1275093247 Kevin P Hagood Dentist 2480 Crooks Rd Apt 3, Troy, MI 48084-5530 2019-03-25
1942784418 Dr. Mark B. Beard Dds, Inc Dentist 102 E Walnut St, Troy, KS 66087-5006 2018-09-20
1285120071 Stephen Charles Degenhardt Dentist 2877 Crooks Rd Ste A, Troy, MI 48084-4717 2018-07-05
1093238966 Yousif Gagi Dentist 525 E Big Beaver Rd Ste 110, Troy, MI 48083-1365 2017-07-21
1841710837 James L Chang Dentist 1883 E Wattles, Troy, MI 48085 2017-06-21
1396272324 Adeeb Haque Dentist 4913 Seasons, Troy, MI 48098-6625 2017-05-22
Find all providers in TROY

Competitor

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City TROY
Zip Code 36079

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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