Dounia Mariam Yazji

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN30297 Issued in FL

Practice address

10430 SW Village Center Dr
Port Saint Lucie, FL 34987-2186

Phone

(772) 348-0715

NPI assigned

May 30, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yazji Dentistry

  • General Practice Dentistry
  • Port Saint Lucie, FL
  • NPI 1417894577
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1073406807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 SW VILLAGE CENTER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872186",
            "telephone_number": "772-348-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 SW VILLAGE CENTER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872186",
            "telephone_number": "772-348-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZJI",
        "first_name": "DOUNIA",
        "middle_name": "MARIAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN30297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd O Wright Sr., PHARM.D
• Tricia Jean Wurster, PHARMD
• Danielle Wygand
• Jared M Yan
• Yazji Dentistry
• Yc Clearly LLC
• Srikar Seshu Yelamarti, DO
• Grace Haesung Yoo, M.D.
• Michael Lee Yu, BCBA
• Ana Zabaleta

• General Practice Dentistry in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.