Zachary William Schurch, D.M.D.
Individual provider Active NPI Dentist · McConnell Afb, KS
NPI 1114467289 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1114467289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8948 (SC)
- Practice address
- 57950 Leavenworth St BLDG 250
McConnell Afb, KS 67221-3506 - Phone
- (316) 759-5181
- NPI assigned
- Mar 8, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8948 | SC | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8948 | SC | Yes |
Addresses
Primary practice location
57950 Leavenworth St BLDG 250
McConnell Afb, KS 67221-3506
Mailing address
57950 Leavenworth St BLDG 250
McConnell Afb, KS 67221-3506
Phone (316) 759-5181
Other providers in McConnell Afb, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.