Healthcare Provider Details

I. General information

NPI: 1245650944
Provider Name (Legal Business Name): ZACHARY B NORRIS D.D.S. P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 EAST WHIDBEY AVENUE SUITE #100
OAK-HARBOR WA
98277
US

IV. Provider business mailing address

620 EAST WHIDBEY AVENUE SUITE #100
OAK-HARBOR WA
98277
US

V. Phone/Fax

Practice location:
  • Phone: 360-679-7227
  • Fax: 360-675-7278
Mailing address:
  • Phone: 360-679-7227
  • Fax: 360-675-7278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDE60093997
License Number StateWA

VIII. Authorized Official

Name: DR. ZACHARY NORRIS
Title or Position: OWNER
Credential: D.D.S.
Phone: 360-679-7227