A REZA MIREMADI MD DDS LLC NPI 1053597930

NPI Information

  • NPI: 1053597930
  • Provider Name: A REZA MIREMADI MD DDS LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • CLIA Number: 36D2000155
  • Address: 576 N MAIN ST
    SPRINGBORO, OH
    ZIP 45066
  • Phone: (937) 748-8814

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NPI Details

A REZA MIREMADI MD DDS LLC is an oral and maxillofacial surgery dentist in Springboro, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. A REZA MIREMADI MD DDS LLC NPI is 1053597930. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

576 N MAIN ST
SPRINGBORO, OH
ZIP 45066-552
Phone: (937) 748-8814
Fax: (937) 748-8817

The provider's authorized official is Cindy Laymaster .
The authorized official title is Financial Manager and has the following contact phone number (937) 748-8814.

The CLIA number assigned to this NPI record is 36D2000155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H94832MEDICARE UPINOHIO
29337901MEDICARE PINOHIO
32421132MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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