Azarisamani, Amir

Azarisamani, Amir is an individual health care provider with primary practice located at 1893 Ne Neff Rd , Bend OR 97701-6112. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Azarisamani, Amir can be contacted via phone (541) 382-7981.

Contact Information

Primary practice address
1893 Ne Neff Rd Bend OR 97701-6112
Phone: (541) 382-7981
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19828 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9793 Oregon
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD187266 Oregon

Profile Details

NPI number 1598021578
LBN Legal business name Azarisamani, Amir
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Aug 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598021578 NPPES
Oregon Other D9793 OREGON BOARD OF DENTISTRY
Oregon Other MD187266 OREGON BOARD OF DENTISTRY

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