Dean Azzeh D.D.S. Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

55883 Issued in CA

Legal business name

DEAN AZZEH D.D.S. INC

Doing business as

Family Orthodontics

Practice address

16168 Beach Blvd Ste 90
Huntington Beach, CA 92647-3847

Phone

(714) 544-0200

Fax

(714) 544-0204

NPI assigned

Dec 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ezz Dean Azzeh, DDS, DMEDSC,

Title

Ceo

Phone

(714) 544-0200

Specialties & licenses 1

Addresses

Other names 1

• Family Orthodontics Doing business as

Tax ID family

Dean Azzeh DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dean Azzeh D.D.S. Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newport Beach, CA
  • NPI 1528503588
  NPD tax ID
• Family Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
  • NPI 1245553072
  NPD tax ID

Locations

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1346785300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16168 BEACH BLVD STE 90",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473847",
            "telephone_number": "714-544-0200",
            "fax_number": "714-544-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16168 BEACH BLVD STE 90",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473847",
            "telephone_number": "714-544-0200",
            "fax_number": "714-544-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN AZZEH D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "AZZEH",
        "authorized_official_first_name": "EZZ",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-544-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, DMEDSC,"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Mairely De la Cruz Nava
• Emilie De la Fuente
• Desiree De la Riva
• Natasha De Leon
• Delia Gay De Perio, OMD, LAC, RN
• Kevin Keith Dean
• Leah Katherine Dean, M.S.
• Ratda Phasomboon Dean, CMT 80490
• Bailey Deason
• Hannah Decriscio

• Orthodontics and Dentofacial Orthopedics Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.