MEDICARE: NEWAZ DIAGNOSTICS PLLC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1407799349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWAZ DIAGNOSTICS PLLC

Provider Business Mailing Address
First Line	:	3109 SAWGRASS VILLAGE CIR
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-5032
Country	:	US
Telephone Number	:	904-273-9115
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 SAWGRASS VILLAGE CIR
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-5032
Country	:	US
Telephone Number	:	904-273-9115
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZUBAD NEWAZ
Credential	:	DDS
Telephone Number	:	904-273-9115

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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