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ZACKERY ETHAN EADES DMD
NPI 1255985289
Dentist in Prattville, AL

Active since July 29, 2019PECOS Enrolled
1803 STATION DR STE A, PRATTVILLE, AL 36066(334) 361-9880 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2025, Jul 29, 2019 (2 updates tracked since 2019).

About Zackery Ethan Eades Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACKERY ETHAN EADES DMD (NPI 1255985289) is an individual dentist in Prattville, Alabama, licensed in Alabama (0006649-C1) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of University Of Alabama School Of Dentistry (2019).

NPPES Registry Identity

NPI1255985289
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameZACKERY ETHAN EADESCredential: DMD
Location Address1803 STATION DR STE APrattville, AL 36066-5671
Mailing Address1803 Station Dr Ste APrattville, AL 36066-5671 · (334) 361-9880
Phone(334) 361-9880
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of DentistryGraduated 2019
Enumeration DateJuly 29, 2019
Last NPPES UpdateJuly 5, 20252 updates tracked since enumeration
NPPES CertifiedJuly 5, 2025
✔ NPI 1255985289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AL · 0006649-C1
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1803 STATION DR STE A, Prattville, AL 36066
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Secondary Practice Location 1

Location 198 Oak Park DrTroy, AL 36079-3085 · Phone (205) 913-1969

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zackery Ethan Eades Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800382482
PECOS Enrollment IDI20260102003247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTAUGA STATION DENTAL
Clinic/Center (Dental)
1803 STATION DR STE A
PRATTVILLE, AL 36066
Autauga County (334) 361-9880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zackery Eades's NPI number?

The NPI number for Zackery Eades is 1255985289. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Zackery Eades located?

Zackery Eades practices at 1803 Station Dr Ste A, Prattville, AL 36066. The listed phone number is (334) 361-9880.

What is Zackery Eades's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Zackery Eades enrolled in Medicare?

Yes. Zackery Eades is registered in the Medicare PECOS enrollment system.

What insurance does Zackery Eades accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Zackery Eades as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zackery Eades was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.