Healthcare Provider Details

I. General information

NPI: 1427552454
Provider Name (Legal Business Name): ZACHARY RYAN DENHAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 BOULEVARD ST
DOVER OH
44622-2026
US

IV. Provider business mailing address

659 BOULEVARD ST
DOVER OH
44622-2026
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-3311
  • Fax:
Mailing address:
  • Phone: 330-827-9225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.144134
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: