Organization Active NPI

Zac Family Dentistry PLLC

  • Dentist
  • Plano, TX
National Provider Identifier
1851827950
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ZAC FAMILY DENTISTRY PLLC
Practice address
3465 National Dr Ste 315
Plano, TX 75025-1095
Phone
(972) 668-4696
Fax
(972) 408-4157
NPI assigned
May 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Zakia Sultana Mohamed, DDSNPI 1427247055
Title
Dentist
Phone
(203) 278-4770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3465 National Dr Ste 315
Plano, TX 75025-1095

Mailing address

3465 National Dr Ste 315
Plano, TX 75025-1095
Phone (972) 668-4696

Other names 1

  • Great Smiles Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

5375 Coit Rd
Ste 160
Frisco, TX 75035

3465 National Dr
Ste 315
Plano, TX 75025
Phone (972) 668-4696

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1851827950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DR STE 315",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251095",
            "telephone_number": "972-668-4696",
            "fax_number": "972-408-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DR STE 315",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251095",
            "telephone_number": "972-668-4696",
            "fax_number": "972-408-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAC FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ZAKIA",
        "authorized_official_middle_name": "SULTANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-278-4770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.