AZADEH AFSHARI, DDS LLC (NPI# 1770011926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770011926 |
| Entity Type | Organization |
| Organization Name | AZADEH AFSHARI, DDS LLC |
| Other Organization Name | ORAL AND MAXILLOFACIAL PROSTHODONTICS |
| Practice Address |
517 S Euclid Ave Bldg Ste 819 Saint Louis MO 63110-1007 |
| Mailing Address |
517 South Euclid Ave Mcmillan Bldg Ste 819 Saint Louis MO 63110-1007 |
| Practice Telephone | 3143628574 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Authorized Official Name | MRS. ANN VITALE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3143628574 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Oral and Maxillofacial Prosthodontics | Doing Business As Name - Organization |
| Street Address |
517 S EUCLID AVE BLDG STE 819 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093738858 | Richard Blustein | Dentist | 711 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2006-07-25 |
| 1912272212 | Barry S Goldenberg | Dentist | 777 S New Ballas Rd, Suite 213-e, Saint Louis, MO 63141-8705 | 2012-03-20 |
| 1205146636 | Mohamed Elsafi, Dds LLC | Dentist | 517 S Euclid Ave, Mcmillan Building Suite 819, Saint Louis, MO 63110-1007 | 2010-10-19 |
| 1164565958 | Joseph Frederick Shea | Dentist | 3555 Sunset Office Dr, Suite 200, Saint Louis, MO 63127-1015 | 2007-02-14 |
| 1750447165 | Barry S. Goldenberg, D.m.d., M.s., P.C. | Dentist | 777 S New Ballas Rd, Suite 213-e, Saint Louis, MO 63141-8705 | 2006-12-29 |
| 1508951666 | Thomas M Matthes | Dentist | 11710 Old Ballas Rd, Suite 200, Saint Louis, MO 63141-7076 | 2006-10-04 |
| 1871517441 | Robert E Willis | Dentist | 777 S New Ballas Rd, Suite 318 W, Saint Louis, MO 63141-8705 | 2006-07-27 |
| 1528023827 | John Joseph Wahle | Dentist | 915 N Grand Blvd, Va Medical Center, Dental Service, 11f/8, Saint Louis, MO 63106-1621 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605019 | Bhavika V Thakkar | Dentist | 650 E 25th St Rm 277, Kansas City, MO 64108-2716 | 2020-03-25 |
| 1285159004 | C. Alan Mcquigg Dds Ms PC | Dentist | 620 W 32nd St Ste C, Joplin, MO 64804-2528 | 2017-08-14 |
| 1487958112 | Carol Kim | Dentist | 3842 S Glenstone Ave, Springfield, MO 65804-4418 | 2011-01-11 |
| 1972750909 | Kevin D Wallace | Dentist | 1200 E Woodhurst Dr Ste A200, Springfield, MO 65804-3745 | 2008-08-21 |
| 1235322108 | Glen H Petteway | Dentist | 1200 E Woodhurst, Ste T300, Springfield, MO 65804-3784 | 2007-08-23 |
| 1881899466 | Warren Henry Speiser | Dentist | 885 St Francois Street, Florissant, MO 63031-4923 | 2007-06-15 |
| 1134282023 | Kristine Kae Schrock | Dentist | 3906 Sherman Ave, Saint Joseph, MO 64506-3648 | 2006-12-19 |
| 1487740189 | Kyle Donahue | Dentist | 2020 Bluestone Dr, Saint Charles, MO 63303-5974 | 2006-10-04 |
| 1265479885 | Donna N Deines | Dentist | 203 E 63rd St, Kansas City, MO 64113-2224 | 2006-06-01 |
| 1669443990 | Timothy Scott Bartlett | Dentist | 1497 N Business Route 5, Camdenton, MO 65020-2636 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.