Azra Saleem, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009906 Issued in CT

Practice address

341 N Colony St
Wallingford, CT 06492-3170

Phone

(203) 626-9565

Fax

(203) 626-9564

NPI assigned

Jul 14, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1194989756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N COLONY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923170",
            "telephone_number": "203-626-9565",
            "fax_number": "203-626-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N COLONY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923170",
            "telephone_number": "203-626-9565",
            "fax_number": "203-626-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "AZRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009906",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Ryan, DPT
• Kim Marie Sabino, RD
• Yauss B Safavi, M.D.
• Anace H Said, M.D.
• Javier Salabarria, MD
• Tracey Cobbol Samela, OTRL
• Mark Emilio Sampieri, R.PH.
• Michael Richard Sampson, LAT, ATC
• Jacqueline Sancho, PTA
• Kenneth Sanders

• General Practice Dentistry in Wallingford, CT
• Providers in Wallingford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.