Individual provider Active NPI

Azarias Cedrion Vasser, DDS

  • Dentist
  • Waycross, GA
National Provider Identifier
1720775976
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN124263. Issued in GA
Practice address
2271 Memorial Dr
Waycross, GA 31501-0902
Phone
(912) 550-4124
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN124263. GA Primary

Addresses

Primary practice location

2271 Memorial Dr
Waycross, GA 31501-0902

Mailing address

1 Riverside Ave Apt 3321
Jacksonville, FL 32202-5154
Phone (832) 546-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1720775976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE AVE APT 3321",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322025154",
            "telephone_number": "832-546-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 MEMORIAL DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315010902",
            "telephone_number": "912-550-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSER",
        "first_name": "AZARIAS",
        "middle_name": "CEDRION",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN124263.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.