AZADEH AFZALI D.D.S, INC.


Address: 1918 Business Center Dr Ste 210, San Bernardino, CA 92408-3441
Phone: 9098813336

AZADEH AFZALI D.D.S, INC. (NPI# 1669833810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669833810
Entity Type Organization
Organization Name AZADEH AFZALI D.D.S, INC.
Other Organization Name SB LIFETIME DENTAL
Practice Address 1918 Business Center Dr Ste 210
San Bernardino
CA 92408-3441
Practice Telephone 9098813336
Practice Fax Number 9098909099
Mailing Telephone 9098813336
Mailing Fax Number 9098909099
Enumeration Date 2016-03-16
Last Update Date 2016-03-16
Authorized Official Name AZADEH MARY AFZALI (PRESIDENT)
Authorized Official Telephone 9098813336
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 64657 CA Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
55014 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA DENTAL LICENCE 55014 01
CA CALIFORNIA DENTAL LICENCE 64657 01

Other Provider/Organization Names

Other Name Type Code
SB Lifetime Dental Doing Business As Name - Organization

Office Location

Street Address 1918 BUSINESS CENTER DR STE 210
City SAN BERNARDINO
State CA
Zip Code 92408-3441

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1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
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1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124639901 Arutyun Mkrtchyan D.d.s. Inc Dentist 1655 N Mount Vernon Ave Unit B, San Bernardino, CA 92411-1427 2020-08-13
1316555261 Ryan Andrew Stitzinger Dentist 234 N D St, San Bernardino, CA 92401-1702 2020-07-16
1417506932 Rincon Dds and Associates Inc Dentist 1078 E Hospitality Ln, San Bernardino, CA 92408-2878 2019-09-06
1669036117 Feldkamp Cal Select Dental Group, Inc. Dentist 164 W Hospitality Ln Ste 127, San Bernardino, CA 92408-3316 2019-04-30
1609358845 Arteaga Dental Corporation Dentist 494 S Rancho Ave, San Bernardino, CA 92410-2144 2018-09-04
1295213239 Feldkamp Cal Select Dental Group, Inc. Dentist 164 W Hospitality Ln # 107, San Bernardino, CA 92408-3316 2018-08-01
1508370487 Katy Chou Dds Inc Dentist 1799 N Waterman Ave Ste C, San Bernardino, CA 92404-5107 2017-11-29
1700309184 Eric Williamson Dentist 328 Commercial Rd Ste 104, San Bernardino, CA 92408-3766 2017-07-18
1841741360 Esther Song Dentist 2672 S Carl Pl, San Bernardino, CA 92408-4182 2016-10-19
1578916029 Alexander Reimann Dentist 2665 Annapolis Cir, San Bernardino, CA 92408-4133 2016-07-20
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Competitor

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City SAN BERNARDINO
Zip Code 92408

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Dataset Information

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.

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