Individual provider · NPI-1

Zackery Ethan Eades, DMD

Dentist · Prattville, AL

NPI number1255985289
StatusActive
Last updated in NPPESJul 5, 2025

Details

NPI
1255985289
Entity type
Individual (NPI-1)
Name
Zackery Ethan Eades
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 29, 2019
Certification date
Jul 5, 2025
Last updated
Jul 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist0006649-C1ALYes

Practice location

1803 Station Dr Ste A
Prattville, AL 36066-5671

Phone 334-361-9880

Mailing address

1803 Station Dr Ste A
Prattville, AL 36066-5671

Phone 334-361-9880

Other practice locations

98 Oak Park Dr
Troy, AL 36079-3085

Phone 205-913-1969

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