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NPI Code Detail

MEDICARE: DR. FARNAZ NAMAZI DDS

MEDICARE:  DR. FARNAZ  NAMAZI  DDS
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
11223X0008XOral and Maxillofacial Radiology Dentistry41033TX
21223X0008XOral and Maxillofacial Radiology DentistryDNF000468GA

General Provider Information

NPI Number : 1437834249
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARNAZ NAMAZI DDS
Provider Business Mailing Address
First Line : 1430 JOHN WESLEY GILBERT DRIVE
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-0001
Country : US
Telephone Number : 706-721-2371
Fax Number : 706-721-6778
Provider Business Practice Location Address
First Line : 1430 JOHN WESLEY GILBERT DRIVE
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-0001
Country : US
Telephone Number : 706-721-2371
Fax Number : 706-721-6778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 02/11/2025

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Directions to “ DR. FARNAZ NAMAZI DDS” Practice Location

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