| Dr Azizi Pllc | |
|
1538 11th Ave Longview WA 98632-4123 | |
| (323) 804-1324 | |
| Not Available |
| Full Name | Dr Azizi Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1538 11th Ave, Longview, Washington |
| Authorized Official Name and Position | Hamid Azizi (OWNER) |
| Authorized Official Contact | 3238041324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Azizi Pllc 3984 Nw Currawong Ct Camas WA 98607-8521 Ph: () - | Dr Azizi Pllc 1538 11th Ave Longview WA 98632-4123 Ph: (323) 804-1324 |
| NPI Number | 1275259582 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 4981071727 |
|---|---|
| Medicare Enrollment ID | O20221107003222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275259582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Hamid Azizi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1598200610 PECOS PAC ID: 5890162630 Enrollment ID: I20221107003237 |
Andrew Steidley Dmd Ms Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Hudson St, Suite #202, Longview, WA 98632 Phone: 360-342-6700 | |
Kaiser Foundation Health Plan Of The Northwest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jeromy R. Dixson, D.m.d., P.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Ocean Beach Hwy, Suite 110, Longview, WA 98632 Phone: 360-577-0566 Fax: 360-423-3343 | |
Justin Vanbibber Ii Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Ocean Beach Hwy Ste A, Longview, WA 98632 Phone: 253-759-5437 Fax: 253-426-1836 | |
Mountain Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Ocean Beach Hwy Ste 110, Longview, WA 98632 Phone: 360-577-0566 | |
Matthew E Lesh Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 14th Ave, Longview, WA 98632 Phone: 360-200-4924 | |
William G. Lesh Dmd, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 14th Ave, Longview, WA 98632 Phone: 360-200-4924 Fax: 360-200-4923 |