Nima Afzalian Naini, DMD
Individual provider Active NPI Dentist · Glendale, AZ
NPI 1245979186 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1245979186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D011364 (AZ)
- Practice address
- 6637 W Peoria Ave Ste D-2
Glendale, AZ 85302-7023 - Phone
- (623) 526-2330
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011364 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astarz LLC | Current |
Accepting new patients |
Locations
6637 W Peoria Ave
Ste D2
Glendale, AZ 85302
Phone (623) 300-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011364 | AZ | Yes |
Addresses
Primary practice location
6637 W Peoria Ave Ste D-2
Glendale, AZ 85302-7023
Mailing address
11645 E del Timbre Dr
Scottsdale, AZ 85259-5908
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.