Healthcare Provider Details

I. General information

NPI: 1831080019
Provider Name (Legal Business Name): ZACHARY JAMES KUCHTA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 INDUSTRIAL DR
KINSTON NC
28504-4500
US

IV. Provider business mailing address

123 FALLIN BLVD APT C4
GOLDSBORO NC
27534-4364
US

V. Phone/Fax

Practice location:
  • Phone: 252-316-2445
  • Fax:
Mailing address:
  • Phone: 608-498-1173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14329
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: