Provider Demographics
NPI:1568033355
Name:DOYLE, ZACHARY VAN AUSTIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:VAN AUSTIN
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 N MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:CAVE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72521-9700
Mailing Address - Country:US
Mailing Address - Phone:870-878-1968
Mailing Address - Fax:
Practice Address - Street 1:316 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:AR
Practice Address - Zip Code:72521-9700
Practice Address - Country:US
Practice Address - Phone:870-878-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR45361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice