EZZ AZZEH (NPI# 1669670931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669670931 |
| Entity Type | Individual |
| Full Name | EZZ AZZEH |
| Credential | DDS, CERT., DMSC |
| Practice Address |
535 E Main St Ste A Tustin CA 92780-4453 |
| Practice Telephone | 7145440200 |
| Practice Fax Number | 7145091517 |
| Mailing Telephone | 7145440200 |
| Mailing Fax Number | 7145091517 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
55883 | CA | Dental Providers |
| Street Address |
535 E MAIN ST STE A |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255634903 | Sohail I. Simjee, Dmd, Inc. | Dentist | 13297 Jamboree Rd, Tustin, CA 92782-9159 | 2010-12-17 |
| 1144468265 | Efrain Humberto Chara | Dentist | 661 W 1st St Ste A, Tustin, CA 92780-2939 | 2009-01-27 |
| 1871738369 | Denis Leon Gray | Dentist | 18102 Irvine Blvd Ste 212, Tustin, CA 92780-3424 | 2008-12-11 |
| 1760666705 | Dell Aldrich | Dentist | 12711 Trent Jones Ln, Tustin, CA 92782-1128 | 2007-12-27 |
| 1811102965 | William F Denny | Dentist | 1252 Irvine Blvd, Tustin, CA 92780 | 2007-05-11 |
| 1881738193 | Sohail I. Simjee | Dentist | 13155 Jamboree Rd, Tustin, CA 92782-9158 | 2007-02-19 |
| 1427155779 | William L Chen | Dentist | 3061 Edinger Ave, Suite A, Tustin, CA 92780-7238 | 2006-09-20 |
| 1720003585 | Michael R Pashley | Dentist | 13112 Newport Ave, Ste. K, Tustin, CA 92780-3425 | 2006-07-13 |
| 1104141316 | Schuppet Dental Corporation | Dentist | 12791 Newport Ave Ste 208, Tustin, CA 92780-8023 | 2010-03-30 |
| 1245553072 | Family Orthodontics | Dentist | 1101 Bryan Ave, Suite C, Tustin, CA 92780-4401 | 2010-03-08 |
| Find all providers in TUSTIN | ||||
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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.