MEDICARE: NAZ DENTAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	52139	CA

General Provider Information

NPI Number	:	1558723122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAZ DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	2948 HILLTOP MALL RD
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-1902
Country	:	US
Telephone Number	:	510-223-5676
Fax Number	:	510-223-8719

Provider Business Practice Location Address
First Line	:	2948 HILLTOP MALL RD
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-1902
Country	:	US
Telephone Number	:	510-223-5676
Fax Number	:	510-223-8719

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OMERA NAZ
Credential	:
Telephone Number	:	510-223-5676

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	03/23/2016

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1114929437 — JACKSON MEDICAL SERVICES
Practice Location Address:

2930B HILLTOP MALL RD
RICHMOND, CA
94806-1902

Practice Phone: 510-222-1075
Practice Fax: 510-222-1575

1588101497 — DRAKE FOODS
Practice Location Address:

1902 SAN PABLO DR
SAN MARCOS, CA
92078-4822

Practice Phone: 760-870-7118
Practice Fax:

1558808444 — MOHAMMED SHALABI
Practice Location Address:

1902 SAN PABLO DR
SAN MARCOS, CA
92078-4822

Practice Phone: 760-870-7118
Practice Fax:

1619120672 — RIGOBERTO CERVANTES
Practice Location Address:

626 E SANTA CLARA ST
SAN JOSE, CA
95112-1902

Practice Phone: 408-298-4095
Practice Fax: 408-298-4097

1245237049 — JOSE EMILIO DEJESUS MD
Practice Location Address:

8353 CULEBRA RD , STE 101
SAN ANTONIO, TX
78251-1902

Practice Phone: 210-706-2580
Practice Fax: 210-706-2582

Directions to “NAZ DENTAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.