Arezou Garmestani, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401416294 Issued in VA

Practice address

215 Imperial Blvd
Ste C2
Lakeland, FL 33803-4689

Phone

(863) 619-8836

Fax

(863) 607-9099

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• A Garmestani, PLLC

  • General Practice Dentistry
  • MC Lean, VA
  • NPI 1588486583
  NPD Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1124260104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 IMPERIAL BLVD",
            "address_2": "STE C2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034689",
            "telephone_number": "863-619-8836",
            "fax_number": "863-607-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 IMPERIAL BLVD",
            "address_2": "STE C2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034689",
            "telephone_number": "863-619-8836",
            "fax_number": "863-607-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-584-5590",
            "fax_number": "434-584-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARMESTANI",
        "first_name": "AREZOU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0014852",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deyshawnta Gardner
• Seth D Gardner, PA
• Gustavo Jesus Gari, DDS
• Alexander Joseph Garibay, O.D.
• Seth Garland, DO
• Deme-Simone Garner
• Logan Wayne Garner
• Lori Custer Garner, ED.S.
• Khalilah Garrett, LCSW
• Alex I Garriga, M.D.

• Dentist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.