Ali Azad, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11553 Issued in MD

Practice address

230 W Dares Beach Rd
Prince Frederick, MD 20678-3150

Phone

(410) 535-5055

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prince Frederick Dental Center

  • General Practice Dentistry
  • Prince Frederick, MD
  • NPI 1164634234
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073725255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKLYN CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543933",
            "telephone_number": "410-535-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W DARES BEACH RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783150",
            "telephone_number": "410-535-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAD",
        "first_name": "ALI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwabena A Asante, FNP-C
• Christina A Athens, P.A.
• Jessica Lynn Atkisson
• Kathleen Anne Atkisson, M.A., J.D.
• Attune Wellness LLC
• Priscilla Dede Azu
• Mary Bachar, RN
• Hannah Badeaux
• Sharon Ann Baker, P D
• Robin L Baranowski, R.N., B.S.N.

• General Practice Dentistry in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.