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AZ DENTAL GROUP NPI 1811420482


NPI Information

NPI: 1811420482
Provider Name: AZ DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1619 GRANT AVE
STE 23
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 673-4940
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AZ DENTAL GROUP is a general practice dentist in Philadelphia, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. AZ DENTAL GROUP NPI is 1811420482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1619 GRANT AVE
STE 23
PHILADELPHIA, PA
ZIP 19115-167
Phone: (215) 673-4940

The provider's authorized official is Zaliya Akbasheva .
The authorized official title is Owner and has the following contact phone number (215) 673-4940.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS037477PENNSYLVANIAYes

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: 11/14/2023

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