Thomas Zakkak, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

305898 Issued in MS

Practice address

1760 Medical Park Dr
Suite a
Biloxi, MS 39532-2131

Phone

(228) 388-5925

Fax

(228) 388-8153

NPI assigned

May 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Mississippi Maxillofacial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Biloxi, MS
  • NPI 1902858004
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821041492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13334 CARRIAGE CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034980",
            "telephone_number": "228-388-5925",
            "fax_number": "228-388-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MEDICAL PARK DR",
            "address_2": "SUITE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322131",
            "telephone_number": "228-388-5925",
            "fax_number": "228-388-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKKAK",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "305898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6409263",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Yerges, PHARMD
• Dustin Lee Yontz, MD
• Adam Ryan Yu, DMD
• Alexander Yuan, D.O.
• Aaron Glenn Zahedi, PMHNP-BC
• Robert Charles Zalme, DDS, MS
• Michael William Zegelien
• Norman Dale Zellers, PAC
• Paul Richard Ziaya, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.