| Reza Azari Samani, Dds Pa | |
|
14453 Beach Blvd. Suite 100 Jacksonville FL 32250 | |
| (904) 992-8900 | |
| (904) 992-4922 |
| Full Name | Reza Azari Samani, Dds Pa |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 14453 Beach Blvd., Jacksonville, Florida |
| Authorized Official Name and Position | Reza Azari Samani (OWNER) |
| Authorized Official Contact | 9049928900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Azari Samani, Dds Pa 14453 Beach Blvd. Suite 100 Jacksonville FL 32250 Ph: (904) 992-8900 | Reza Azari Samani, Dds Pa 14453 Beach Blvd. Suite 100 Jacksonville FL 32250 Ph: (904) 992-8900 |
| NPI Number | 1114059201 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114059201 | NPI | - | NPPES |
| 69855 | Other | BLUE CROSS BLUE SHIELD | |
| 826747 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 12860 (Florida) | Primary |
Donald L. Smitha, Dds, Mds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Alderman Rd, Jacksonville, FL 32211 Phone: 904-725-8282 Fax: 904-725-7197 | |
Selena L Marchan, Dmd, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 13475 Atlantic Blvd, Ste 36, Jacksonville, FL 32225 Phone: 904-246-2603 Fax: 904-247-9663 | |
Roger D. Robinson Jr., D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Cardinal Point Drive, Jacksonville, FL 32257 Phone: 904-737-2040 Fax: 904-737-2051 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041 Fax: 315-410-5531 | |
Ben Lewis, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 N Lee St, Jacksonville, FL 32204 Phone: 904-366-3736 | |
Joseph G Chiafair Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9471 Baymeadows Rd, Suite 101, Jacksonville, FL 32256 Phone: 904-739-3939 Fax: 904-739-1381 | |
Timothy J Parker Dmd Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 8351 Bayberry Rd, Jacksonville, FL 32256 Phone: 904-737-3263 Fax: 904-448-5301 |