Provider Demographics
NPI:1144601568
Name:TAYLOR, ZAKARI MILLER (DMD)
Entity type:Individual
Prefix:DR
First Name:ZAKARI
Middle Name:MILLER
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-2309
Mailing Address - Country:US
Mailing Address - Phone:270-247-2552
Mailing Address - Fax:270-247-2514
Practice Address - Street 1:315 S 6TH ST
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-2309
Practice Address - Country:US
Practice Address - Phone:270-247-2552
Practice Address - Fax:270-247-2514
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9592122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist