Provider Demographics
NPI:1194235671
Name:HOLCOMBE, ZACHARY SCOTT (DMD)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:SCOTT
Last Name:HOLCOMBE
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 1:1944 HENDERSONVILLE RD STE B2
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2795
Mailing Address - Country:US
Mailing Address - Phone:828-684-3839
Mailing Address - Fax:828-681-0937
Practice Address - Street 1:1944 HENDERSONVILLE RD STE B2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2795
Practice Address - Country:US
Practice Address - Phone:828-684-3839
Practice Address - Fax:828-681-0937
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC107711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC95958OtherBCBS
NC8995958Medicaid