Jerome M. Azia D.D.S.,P.C.
Organization Active NPI Dentist · Southwick, MA
NPI 1366465791 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366465791
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12383 (MA)
- Legal business name
- JEROME M. AZIA D.D.S.,P.C.
- Practice address
- 627 College Hwy
Southwick, MA 01077-9433 - Phone
- (413) 569-3170
- Fax
- (413) 569-3170
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerome Morris Azia, D.D.S.
- Title
- President
- Phone
- (413) 569-3170
Practitioners 4
-
John Anthony Agapis, DDS
-
Jerome Morris Azia, D.D.S,
-
Jonathan Daniels, DMD
National Provider Directory
Locations
627 College Hwy
Southwick, MA 01077
Phone (413) 569-3170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12383 | MA | Yes |
Addresses
Primary practice location
627 College Hwy
Southwick, MA 01077-9433
Mailing address
PO Box 34
Southwick, MA 01077-0034
Phone (413) 569-3170
Other providers in Southwick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.