Provider Demographics
NPI:1144677881
Name:DAWSON, DENNIS ZACKARY (DPM)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:ZACKARY
Last Name:DAWSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-9006
Mailing Address - Country:US
Mailing Address - Phone:828-452-4343
Mailing Address - Fax:
Practice Address - Street 1:289 ACCESS RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-9006
Practice Address - Country:US
Practice Address - Phone:828-452-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC710213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC710OtherSTATE LICENSE