Healthcare Provider Details
I. General information
NPI: 1699681403
Provider Name (Legal Business Name): ZACHARY MCCOMB DMD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3180 COLLINS DR STE B
MERCED CA
95348-3156
US
IV. Provider business mailing address
3180 COLLINS DR STE B
MERCED CA
95348-3156
US
V. Phone/Fax
- Phone: 209-723-4268
- Fax:
- Phone: 209-723-4268
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ZACHARY
KYLE
MCCOMB
Title or Position: OWNER/PRESIDENT
Credential: DMD
Phone: 209-500-8380