Reza Azari Samani, Dds Pa

LBN: Reza Azari Samani, Dds Pa
Reza Azari Samani, Dds Pa is an health care organization with primary practice located at 14453 Beach Blvd. Suite 100, Jacksonville FL 32250. The organization recently has only one registered license in Dental Providers / Prosthodontics, which is considered as the primary health care specialty. Reza Azari Samani, Dds Pa can be contacted via phone (904) 992-8900, or through Samani, Reza Azari via phone (904) 992-8900.

Contact Information

Primary practice address
14453 Beach Blvd. Suite 100 Jacksonville FL 32250
Phone: (904) 992-8900
Fax: (904) 992-4922
Website:
Map and Directions
Authorized official contact:
Name: Samani, Reza Azari Doctor of Dental Surgery (DDS)
Phone: (904) 992-8900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 12860 Florida

Profile Details

NPI number 1114059201
LBN Legal business name Reza Azari Samani, Dds Pa
DBA Doing business as
Authorized official Samani, Reza Azari Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Jun 9th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114059201 NPPES
Other 69855 BLUE CROSS BLUE SHIELD
Other 826747 BLUE CROSS BLUE SHIELD

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