DEAN AZZEH DDS INC. NPI 1669077749

NPI Information

  • NPI: 1669077749
  • Provider Name: DEAN AZZEH , DDS INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: FAMILY ORTHODONTICS & ORAL SURGERY
  • Address: 535 E MAIN ST STE A
    TUSTIN, CA
    ZIP 92780
  • Phone: (714) 544-0200

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NPI Details

DEAN AZZEH , DDS INC. is a dental clinic center in Tustin, CA. DEAN AZZEH , DDS INC. NPI is 1669077749. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Orthodontics & Oral Surgery.

The provider's business location address is:

535 E MAIN ST STE A
TUSTIN, CA
ZIP 92780-453
Phone: (714) 544-0200
Fax: (714) 509-1517

The provider's authorized official is Dean Azzeh .
The authorized official title is President/owner and has the following contact phone number (714) 544-0200.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 2/17/2021.

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
1261QD0000XClinic/CenterDentalYes

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
11669670931MEDICAIDCALIFORNIA

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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