Azalea A Sharifi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS036230 Issued in PA

Practice address

3801 Germantown Pike Ste 107
Collegeville, PA 19426-4019

Phone

(610) 489-6363

NPI assigned

Dec 5, 2006

Last updated

Feb 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azalea Sharifi DMD, LLC

  dba Evansburg Family Dentistry

  • Dental Clinic/Center
  • Collegeville, PA
  • NPI 1447090121
  NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1437217056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FARAWAY FARMS CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263825",
            "telephone_number": "215-380-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GERMANTOWN PIKE STE 107",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264019",
            "telephone_number": "610-489-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S 2nd Avenue",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "19426",
            "country_code": "US",
            "telephone_number": "610-454-7991",
            "fax_number": "610-454-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIFI",
        "first_name": "AZALEA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Senkowski, FNP-C
• Serene Sleep Dental PC
• Judy M Seyedroudbari, PHARM. D.
• Shailen R Shah, M.D.
• Shared Values
• Huaqiong Shen, MD, PHD
• Molly Elizabeth Shoemaker, DPT
• Stacy Shuchter-Gomez, LCSW
• Kelly Reilley Shultz
• Eme Nelly Silva, DMD

• Dentist in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.