Provider Demographics
NPI:1386892990
Name:SCOTT, ZAKIYA T (DDS)
Entity type:Individual
Prefix:DR
First Name:ZAKIYA
Middle Name:T
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 GALLERIA PKWY SE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5980
Mailing Address - Country:US
Mailing Address - Phone:770-916-5362
Mailing Address - Fax:770-234-6642
Practice Address - Street 1:1900 N BROADWAY
Practice Address - Street 2:SUITE 102
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1444
Practice Address - Country:US
Practice Address - Phone:443-957-1602
Practice Address - Fax:410-235-3202
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD142021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice