Armina Azary, DMD
Individual provider Active NPI Dentist · Hudson, OH
NPI 1730337221 · NPPES record last updated May 15, 2020
Key facts
- NPI
- 1730337221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30023097 (OH)
- Practice address
- 46 Ravenna St Ste A6
Hudson, OH 44236-3058 - Phone
- (330) 467-0504
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30023097 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30023097 | OH | Yes |
Addresses
Primary practice location
46 Ravenna St Ste A6
Hudson, OH 44236-3058
Mailing address
9365 Olde 8 Rd
Northfield, OH 44067-2052
Phone (330) 467-0504
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 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.