Provider Demographics
NPI:1063141620
Name:CHARLASSIER, ZAKIYA (DMD)
Entity type:Individual
Prefix:DR
First Name:ZAKIYA
Middle Name:
Last Name:CHARLASSIER
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 SW 44TH WAY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8257
Mailing Address - Country:US
Mailing Address - Phone:613-355-4926
Mailing Address - Fax:
Practice Address - Street 1:13889 WELLINGTON TRCE STE A5-A6
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-2121
Practice Address - Country:US
Practice Address - Phone:561-795-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN26962122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist