Healthcare Provider Details

I. General information

NPI: 1780130047
Provider Name (Legal Business Name): FRANCISCO XAVIER AZPIAZU FLORES DMD MS FRCD(C)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W 12TH AVE
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

305 W 12TH AVE
COLUMBUS OH
43210-1267
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-0412
  • Fax:
Mailing address:
  • Phone: 614-292-0412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number0401415960
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: