=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457553372
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NAJIA USMAN D.D.S.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2007
-----------------------------------------------------
Last Update Date | 04/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3591 RESERVE COMMONS DR STE 300
-----------------------------------------------------
City | MEDINA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44256-5334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-721-2323
-----------------------------------------------------
Fax | 330-721-1344
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3591 RESERVE COMMONS DR STE 300
-----------------------------------------------------
City | MEDINA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44256-5334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-721-2323
-----------------------------------------------------
Fax | 330-721-1344
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223E0200X
-----------------------------------------------------
Taxonomy Name | Endodontics
-----------------------------------------------------
License Number | 30-020452
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------