MEDICARE: MEHDI DENTAL LLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1215880273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEHDI DENTAL LLC

Provider Business Mailing Address
First Line	:	2571 SW 119TH WAY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5694
Country	:	US
Telephone Number	:	305-999-5122
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S FEDERAL HWY
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-4374
Country	:	US
Telephone Number	:	305-999-5122
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SYED AZAN MEHDI
Credential	:	DDS
Telephone Number	:	305-999-5122

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “MEHDI DENTAL LLC ” Practice Location

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