MEDICARE: DR. FRANCISCO JAVIER AZAR DDS MPH

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	1223P0221X	Pediatric Dentistry	13649	FL
2	1223G0001X	General Practice Dentistry	13649	FL
3	1223G0001X	General Practice Dentistry	112487	CA

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	:	1679671713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO JAVIER AZAR DDS MPH

Provider Business Mailing Address
First Line	:	459 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3906
Country	:	US
Telephone Number	:	305-866-3030
Fax Number	:	305-866-9644

Provider Business Practice Location Address
First Line	:	459 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3906
Country	:	US
Telephone Number	:	305-866-3030
Fax Number	:	305-866-9644

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/05/2026

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