Azam Aleemuddin DDS, Inc.

Key facts

NPI

1891570529

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

AZAM ALEEMUDDIN DDS, INC.

Practice address

1965 Foothill Blvd Ste L
La Verne, CA 91750-3502

Phone

(909) 596-6500

NPI assigned

Aug 30, 2023

Organization subpart

No

Authorized official

Name

Dr. Azam Mohammed Aleemuddin, DDS, MPH NPI 1700368792

Title

Dentist/Owner

Phone

(909) 596-6500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azam Mohammed Aleemuddin, DDS, MPH General Practice Dentistry · La Verne, CA · NPI 1700368792
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other names

• A-Z Smiles Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 17, 2023.

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1891570529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 STONYBROOK DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917895012",
            "telephone_number": "951-907-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 FOOTHILL BLVD STE L",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503502",
            "telephone_number": "909-596-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAM ALEEMUDDIN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "ALEEMUDDIN",
        "authorized_official_first_name": "AZAM",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-596-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-Z Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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