Healthcare Provider Details

I. General information

NPI: 1275984833
Provider Name (Legal Business Name): ZACHARY MCVEY HUTCHENS JR. D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 06/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HEADY DR
NASHVILLE TN
37205-4403
US

IV. Provider business mailing address

2310 ELLIOTT AVE APT 605
NASHVILLE TN
37204-2124
US

V. Phone/Fax

Practice location:
  • Phone: 931-212-0900
  • Fax:
Mailing address:
  • Phone: 931-212-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number10275
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3866-16
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: