MEDICARE: AZIM A PRESSWALA 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
1	1223G0001X	General Practice Dentistry	5573-015	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649475054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZIM A PRESSWALA DDS

Provider Business Mailing Address
First Line	:	8411 W LINCOLN AVE
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2540
Country	:	US
Telephone Number	:	414-489-7648
Fax Number	:

Provider Business Practice Location Address
First Line	:	4359 S HOWELL AVE STE 304
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-5056
Country	:	US
Telephone Number	:	414-489-7648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	09/14/2016

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Directions to “ AZIM A PRESSWALA DDS” Practice Location

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