Provider Demographics
NPI:1992290035
Name:MOHORN, ZACKYRY TYLER (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACKYRY
Middle Name:TYLER
Last Name:MOHORN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4028
Mailing Address - Country:US
Mailing Address - Phone:336-554-5362
Mailing Address - Fax:
Practice Address - Street 1:4251 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2869
Practice Address - Country:US
Practice Address - Phone:252-240-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1111281223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics