Azarisamani, Amir
Azarisamani, Amir is an individual health care provider with primary practice located at 1893 Ne Neff Rd , Bend OR 97701-6112. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Azarisamani, Amir can be contacted via phone (541) 382-7981.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN19828 | Florida |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D9793 | Oregon |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MD187266 | Oregon |
Profile Details
| NPI number | 1598021578 |
|---|---|
| LBN Legal business name | Azarisamani, Amir |
| Credentials | MD, DMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Aug 27th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598021578 | NPPES |
| Oregon | Other | D9793 | OREGON BOARD OF DENTISTRY |
| Oregon | Other | MD187266 | OREGON BOARD OF DENTISTRY |
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