DR. LAITH AZZOUNI (NPI# 1023288347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023288347 |
| Entity Type | Individual |
| Full Name | DR. LAITH AZZOUNI |
| Credential | DMD |
| Practice Address |
390 Southbridge St Auburn MA 01501 |
| Mailing Address |
390 Southbridge St Auburn MA 01501-2456 |
| Practice Telephone | 5088320919 |
| Practice Fax Number | 5088320426 |
| Mailing Telephone | 5088320919 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN18560 | FL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1855086 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 Commonwealth Ave, Back Bay Oral and Maxillofacial Surgery & Implant Cent, Boston, MA 021151926 | 6172674777 | |
| 5810 Wiles Rd, Coral Springs, FL 330672158 | 9543148343 |
| Street Address |
390 SOUTHBRIDGE ST |
| City | AUBURN |
| State | MA |
| Zip Code | 01501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245269760 | Karen P Robinson | Dentist | 390 Southbridge St, Auburn, MA 01501-2456 | 2006-06-30 |
| 1427547090 | Brittany Taylor | Behavior Technician | 390 Southbridge St, Auburn, MA 01501-2456 | 2018-05-09 |
| 1902308430 | Stephanie Savoie | Behavior Technician | 390 Southbridge St, Auburn, MA 01501-2456 | 2018-02-28 |
| 1215437199 | Lillian Grayson | Behavior Technician | 390 Southbridge St, Auburn, MA 01501-2456 | 2018-02-16 |
| 1275054835 | Grace Cabral | Behavior Technician | 390 Southbridge St, Auburn, MA 01501-2456 | 2017-07-03 |
| 1083134563 | Jennifer Anne Gitschier | Behavior Technician | 390 Southbridge St, Auburn, MA 01501-2456 | 2017-06-26 |
| 1841635661 | Benjamin Michael Dawes | Behavioral Analyst | 390 Southbridge St, Auburn, MA 01501-2456 | 2013-05-07 |
| 1588904742 | Auburn Oral Surgery & Implant Center | Dentist | 390 Southbridge St, Auburn, MA 01501-2456 | 2013-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075533 | Pawlished Pet Services LLC | Driver | 81 Oxford St North, Auburn, MA 01501 | 2020-02-17 |
| 1417588633 | Kaitlin Smith | Behavioral Analyst | 35 Midstate Drive, Auburn, MA 01501 | 2020-01-27 |
| 1558881011 | Rahab Karue | Behavioral Analyst | 23 Midstate Drive Suite 214, Apex K Home Care, Auburn, MA 01501 | 2017-06-26 |
| 1578917688 | Family Behavioral Health Inc | Behavioral Analyst | 482 Southbridge St Ste 374, Auburn, MA 01501 | 2016-04-15 |
| 1467861724 | Katharine Budra | Physical Therapist | 1 Swanson Rd Ste 1, Auburn, MA 01501 | 2014-08-11 |
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| 1164857835 | Kelley Bailey | Social Worker | 714b Southbridge St Ste 6, Auburn, MA 01501 | 2013-09-12 |
| 1023459450 | Usman Javed | Dentist | 434 Souhtbridge St, Auburn, MA 01501 | 2013-07-15 |
| 1588919914 | Caitlin Murphy | Physical Therapist | 1 Swanson Rd Ste 1c, Auburn, MA 01501 | 2012-07-23 |
| 1336406453 | Michael J Cohn O.d. Pllc | Optometrist | 48 Auburn Street, Auburn, MA 01501 | 2012-04-13 |
| Find all providers in zip 01501 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215301957 | Steve M. Leighty | Dentist | 1240 High St Unit 105, Auburn, CA 95603-5072 | 2015-11-18 |
| 1124236047 | Thomas Hughes Fuqua Jr. | Dentist | 747 N Dean Rd, Auburn, AL 36830-4027 | 2007-05-21 |
| 1083831275 | David C Beams | Dentist | 1348 S Grandstaff Dr, Auburn, IN 46706-2661 | 2007-04-19 |
| 1982763801 | Central Maine Oral & Maxillofacial Surgery Associates, Pa | Dentist | 405 Center Street, Auburn, ME 04210 | 2006-12-06 |
| 1154400596 | Emily Marie Sabbagh | Dentist | 309 2nd St Se Ste 100, Auburn, WA 98002-5543 | 2006-11-05 |
| 1891877783 | Paul Arnold Karpinski | Dentist | 183 Genesee St, Auburn, NY 13021 | 2006-10-19 |
| 1174633978 | David C Beams Dds PC | Dentist | 1348 South Grandstaff Drive, Auburn, IN 46706-1262 | 2006-08-30 |
| 1245269760 | Karen P Robinson | Dentist | 390 Southbridge St, Auburn, MA 01501-2456 | 2006-06-30 |
| 1568411171 | Erik Anthony Feider | Dentist | 1340 8th St Ne, Suite 101, Auburn, WA 98002-4700 | 2006-05-09 |
| 1477516284 | Charles W Palian | Dentist | 405 Center St, Central Maine Oral Surgery, Auburn, ME 04210-6135 | 2006-04-11 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.