S. Zak Hallock, DMD, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30.022787 Issued in OH

Legal business name

S. ZAK HALLOCK, DMD, INC

Practice address

3716 Wilmington Pike
Dayton, OH 45429-4845

Phone

(937) 296-9672

Fax

(937) 296-9678

NPI assigned

Aug 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

S. Zak Hallock, D.M.D.

Title

Owner

Phone

(937) 296-9672

Specialties & licenses 1

Addresses

Other names 1

• Wilmington Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy Zak Hallock, DMD

  • General Practice Dentistry
  • Dayton, OH
  • NPI 1811151889
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1740412550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454294845",
            "telephone_number": "937-867-7664",
            "fax_number": "937-296-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454294845",
            "telephone_number": "937-296-9672",
            "fax_number": "937-296-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. ZAK HALLOCK, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "HALLOCK",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "ZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-296-9672",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Ryker, DDS
• Michael Colin Rymer, M.D.
• Stephen K. Rymer, M.D.
• S a Gabriel DO Inc
• S Jean Budding Inc
• S&S Safe Haven LLC
• Monica Saad
• Leah Kathleen Sabato, R.D., L.D.
• James H Sabiers, MD
• Shaun Anthony Sabin

• Dentist in Dayton, OH
• Providers in Dayton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.