Provider Demographics
NPI:1053096222
Name:ZANKAR, NADA KHALID (DDS)
Entity type:Individual
Prefix:
First Name:NADA
Middle Name:KHALID
Last Name:ZANKAR
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34709 9TH AVE S STE B300
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8715
Mailing Address - Country:US
Mailing Address - Phone:253-874-2583
Mailing Address - Fax:253-874-8957
Practice Address - Street 1:34709 9TH AVE S STE B300
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003
Practice Address - Country:US
Practice Address - Phone:253-874-2583
Practice Address - Fax:253-874-8957
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE612642941223X2210X, 122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X2210XDental ProvidersDentistOrofacial Pain
No1223G0001XDental ProvidersDentistGeneral Practice