Reza Azari Samani, Dds Pa in Jacksonville - Prosthodontics
Reza Azari Samani, Dds Pa - NPI 1114059201
Reza Azari Samani, Dds Pa is a Prosthodontics in Jacksonville, Florida. Reza Azari Samani, Dds Pa practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Reza Azari Samani, Dds Pa is 1114059201. The last update date is 2014-06-09.
Reza Azari Samani, Dds Pa's current location address is 14453 Beach Blvd., Jacksonville, Florida. You can contact this provider via phone number 9049928900 and fax number 9049924922. The mailing address for Reza Azari Samani, Dds Pa is 14453 Beach Blvd., Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Reza Azari Samani, Dds Pa |
|---|---|
| Address | 14453 Beach Blvd., Jacksonville, Florida |
| Phone Number | 9049928900 |
| Fax Number | 9049924922 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Samani Azari Reza |
| Credentials | DDS |
| Telephone Number | 9049928900 |
NPI Number Detail
| NPI Number | 1114059201 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2014-06-09 |
Provider Mailing Address Detail
| Address | 14453 Beach Blvd. |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32250 |
| Phone Number | 9049928900 |
| Fax Number | 9049924922 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 12860 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 69855 | BLUE CROSS BLUE SHIELD | ||
| 826747 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the Reza Azari Samani, Dds Pa's 1114059201?
The Reza Azari Samani, Dds Pa's NPI (National Provider Identifier) Number is 1114059201. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Reza Azari Samani, Dds Pa is physically located?
The Reza Azari Samani, Dds Pa is situated at the following address: 14453 Beach Blvd., Jacksonville, FL 32250.
What is Reza Azari Samani, Dds Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Reza Azari Samani, Dds Pa's area of specialization is Prosthodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0700X.
On what date did the Reza Azari Samani, Dds Pa receive its 1114059201 assignment from the Centers for Medicare & Medicaid Services?
The Reza Azari Samani, Dds Pa was assigned its 1114059201 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information related to Reza Azari Samani, Dds Pa most recently updated or refreshed?
The details pertaining to the Reza Azari Samani, Dds Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-09.
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