Azalea Sharifi DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AZALEA SHARIFI DMD, LLC

Doing business as

Evansburg Family Dentistry

Practice address

3801 Germantown Pike Ste 107
Collegeville, PA 19426-4019

Phone

(610) 489-6363

Fax

(610) 489-8363

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Azalea A Sharifi, DMD, PH.DNPI 1437217056

Title

Dentist/Owner

Phone

(215) 380-4967

Specialties & licenses 1

Addresses

Other names 1

• Evansburg Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azalea A Sharifi, DMD

  • Dentist
  • Collegeville, PA
  • NPI 1437217056
  NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1447090121",
    "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",
            "fax_number": "610-489-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA SHARIFI DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "SHARIFI",
        "authorized_official_first_name": "AZALEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "215-380-4967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PH.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evansburg Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Aronow, LCSW
• Gabriella Nicole Arsuaga
• Arthritis Treatment Centers of the United States
• Alexandra Louise Atkins
• Hannah Lee Awckland
• Deena Baby
• Ronald J. Bacskai Jr., D. C.
• Rosanella Badalamenti
• Lauren E Baker, DO
• Melissa Anne Baldrige, CRNP, MSN, CPN

• Dental Clinic/Center in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.