NPI 1124772397 · live from the CMS NPI Registry
Ali Sam Azadi, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Alpharetta, GA. National Provider Identifier 1124772397, active.
NPI record
| NPI | 1124772397 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 12385 Crabapple Rd Ste 100, Alpharetta, GA 30004 |
| Practice phone | 770-664-1999 |
| Enumerated | February 7, 2022 |
| Last updated | October 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DN122696 (GA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN122696 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.