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NPI Code Detail

MEDICARE: DR. USMAN SIBTAIN FAZLI DMD

MEDICARE: DR. USMAN SIBTAIN FAZLI DMD
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
11223G0001XGeneral Practice DentistryDEN02946RI

General Provider Information

NPI Number : 1497838106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. USMAN SIBTAIN FAZLI DMD
Provider Business Mailing Address
First Line : 311 DORIC AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-2903
Country : US
Telephone Number : 401-467-9610
Fax Number : 401-467-9030
Provider Business Practice Location Address
First Line : 1090 CRANSTON ST
Second Line :
City : CRANSTON
State : RI
Zip : 02920-7323
Country : US
Telephone Number : 401-943-1981
Fax Number : 401-943-2846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. USMAN SIBTAIN FAZLI DMD” Practice Location

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