DR. THOMAS ZAKKAK (NPI# 1821041492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821041492 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ZAKKAK |
| Credential | DDS |
| Practice Address |
1760 Medical Park Dr Suite A Biloxi MS 39532-2131 |
| Mailing Address |
13334 Carriage Cir Gulfport MS 39503-4980 |
| Practice Telephone | 2283885925 |
| Practice Fax Number | 2283888153 |
| Mailing Telephone | 2283885925 |
| Mailing Fax Number | 2283888153 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
305898 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 6409263 | 05 |
| Street Address |
1760 MEDICAL PARK DR SUITE A |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858004 | South Mississippi Maxillofacial Surgery Center | Clinic/Center | 1760 Medical Park Dr, Suite B, Biloxi, MS 39532-2131 | 2006-05-17 |
| 1386691343 | Gulf Coast Oral & Facial Surgery, P.a. | Dentist | 1760 Medical Park Dr, Suite A, Biloxi, MS 39532-2131 | 2006-05-27 |
| 1245285592 | John H Watts | Dentist | 1760 Medical Park Dr, Sutie A, Biloxi, MS 39532-2131 | 2006-05-24 |
| 1407809098 | Robert T Watts, Jr | Dentist | 1760 Medical Park Dr, Suite A, Biloxi, MS 39532-2131 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861741464 | Kien Chibayere | Dentist | 301 Fisher St, Biloxi, MS 39534-2508 | 2012-08-29 |
| 1437240405 | Dana Andrew Jensen | Dentist | 2650 Beach Blvd Ste 31, Biloxi, MS 39531-4517 | 2006-09-27 |
| 1669583787 | Rian Suihkonen | Dentist | 301 Fisher St, Biloxi, MS 39534 | 2006-08-31 |
| 1386691343 | Gulf Coast Oral & Facial Surgery, P.a. | Dentist | 1760 Medical Park Dr, Suite A, Biloxi, MS 39532-2131 | 2006-05-27 |
| 1245285592 | John H Watts | Dentist | 1760 Medical Park Dr, Sutie A, Biloxi, MS 39532-2131 | 2006-05-24 |
| 1407809098 | Robert T Watts, Jr | Dentist | 1760 Medical Park Dr, Suite A, Biloxi, MS 39532-2131 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| 1689831125 | Charles Jackson Van Meter IIi | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2008-05-21 |
| 1457521163 | Dr Richard K Akin | Dentist | 1013 Highway 90, Bay Saint Louis, MS 39520-1524 | 2008-03-10 |
| 1184802084 | Dr. George W. May, Jr., D.m.d | Dentist | 293 E Layfair Dr, Flowood, MS 39232-9527 | 2008-02-04 |
| 1396920252 | Eric Street Lewis | Dentist | 212 Rawls Dr, Mccomb, MS 39648-2870 | 2008-01-09 |
| 1689888745 | Jason Oser Rosetti | Dentist | 1301 25th Ave, Ste 3, Gulfport, MS 39501-1932 | 2007-05-09 |
| 1831303858 | Tony Dee Hooker | Dentist | 399 Southcrest Ct Ste A, Southaven, MS 38671-4790 | 2007-05-09 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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| 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.