Provider Demographics
NPI:1194131011
Name:SOARD, ZACHARY DAN (DMD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:DAN
Last Name:SOARD
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 1:1306 W CRAIG RD STE H
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0215
Mailing Address - Country:US
Mailing Address - Phone:702-633-4333
Mailing Address - Fax:702-639-0032
Practice Address - Street 1:1306 W CRAIG RD STE H
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0215
Practice Address - Country:US
Practice Address - Phone:702-633-4333
Practice Address - Fax:702-639-0032
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-11
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6522122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist