Provider Demographics
NPI:1396586624
Name:HONEYCUTT, ZACHERY L
Entity type:Individual
Prefix:
First Name:ZACHERY
Middle Name:L
Last Name:HONEYCUTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1674
Mailing Address - Country:US
Mailing Address - Phone:765-969-2152
Mailing Address - Fax:
Practice Address - Street 1:1717 CHESTER BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1612
Practice Address - Country:US
Practice Address - Phone:765-965-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014805A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice