Healthcare Provider Details

I. General information

NPI: 1679521660
Provider Name (Legal Business Name): ZACHARY H. HIGHBERGER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 WILSON ST
FORT SILL OK
73503-4472
US

IV. Provider business mailing address

4301 WILSON ST
FORT SILL OK
73503-4472
US

V. Phone/Fax

Practice location:
  • Phone: 580-558-8260
  • Fax:
Mailing address:
  • Phone: 580-558-8260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30633
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: