Organization Active NPI

Heritage Harbour Dentistry, PA

Doing business as Heritage Harbour Dentistry

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1598620197
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HERITAGE HARBOUR DENTISTRY, PA
Doing business as
Heritage Harbour Dentistry
Practice address
7105 Sr 64 E, Unit 102
Bradenton, FL 34212
Phone
(941) 277-4698
Fax
(941) 213-0822
NPI assigned
Dec 17, 2025
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Anthony A Azadi, DDS
Title
Owner
Phone
(941) 277-4698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7105 Sr 64 E, Unit 102
Bradenton, FL 34212

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Heritage Harbour Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7105 State Road 64 E
Unit 102
Bradenton, FL 34212
Phone (941) 277-4698

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1598620197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SR 64 E, UNIT 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "941-277-4698",
            "fax_number": "941-213-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HARBOUR DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "AZADI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-277-4698",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Harbour Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.