NPI 1144137902 · live from the CMS NPI Registry
Azizat Adediran
Dentist, Orthodontics and Dentofacial Orthopedics in Worcester, MA. National Provider Identifier 1144137902, active.
NPI record
| NPI | 1144137902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 388 Park Ave, Worcester, MA 01610 |
| Practice phone | 617-702-0202 |
| Mailing address | 5 Mount Royal Ave, Marlborough, MA 01752 |
| Enumerated | August 26, 2026 |
| Last updated | September 28, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN10001676 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.