Az Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037477 Issued in PA

Legal business name

AZ DENTAL GROUP

Practice address

1619 Grant Ave
Ste 23
Philadelphia, PA 19115-3167

Phone

(215) 673-4940

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zaliya Akbasheva, DMD

Title

Owner

Phone

(215) 673-4940

Specialties & licenses 1

Addresses

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.

• Anvar Salakhutdinov, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1184302697
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1811420482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152823",
            "telephone_number": "215-673-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVE",
            "address_2": "STE 23",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153167",
            "telephone_number": "215-673-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "AKBASHEVA",
        "authorized_official_first_name": "ZALIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-673-4940",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soussan Ayubcha, MD
• Saumya Ayyagari
• Divya Ayyala-Somayajula, MD
• Joy Ayyoub
• Az Anesthesia, PC
• Azad Khan M.D P.C
• Reuben Azad, MD
• Bahareh Azadi
• Milad Azadi, D.M.D.
• Adeel Hasan Azam, M.D.

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.