Sandy Zak Hallock, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.022787 Issued in OH

Practice address

3716 Wilmington Pike
Dayton, OH 45429-4845

Phone

(937) 867-7664

Fax

(937) 296-9678

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S. Zak Hallock, DMD, Inc

  dba Wilmington Family Dental

  • Dentist
  • Dayton, OH
  • NPI 1740412550
  NPD

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1811151889",
    "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": "937-867-7664",
            "fax_number": "937-296-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "SANDY",
        "middle_name": "ZAK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.022787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Hall
• Mary Hallard, RN
• Lisa Michelle Haller-Bent, COTA/L
• Nadia Haller, APRN CNP
• George Hallett, M.ED.
• Leona P. Hallows, RN, IBCLC
• Halo Home Health Care & Transportation SVC,LLC
• Christina Michelle Halpin
• Gerald Edward Halula, PHARMD
• Wendy Halverson

• General Practice Dentistry in Dayton, OH
• Providers in Dayton, OH by specialty
• General Practice Dentistry 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.