Healthcare Provider Details

I. General information

NPI: 1184247280
Provider Name (Legal Business Name): NEHA VAZIRANI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3523 COMMERCIAL DR
FAIRLAWN OH
44333-5107
US

IV. Provider business mailing address

6407 AZILE WAY
WESTERVILLE OH
43081-4369
US

V. Phone/Fax

Practice location:
  • Phone: 330-577-5774
  • Fax:
Mailing address:
  • Phone: 713-325-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.026785
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: