# DR. ZACHARY JACOB GOMOLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386210730
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 019.033072 | IL | — |
| 122300000X | Dentist | 12014038A | IN | Yes |
| 1223G0001X | General Practice Dentistry | 2901601151 | MI | — |

## Other

- **Enumeration date:** 05/27/2021
- **Last updated:** 05/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4438474 | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | IL |