DR. SHAHLA S AZHDARI (NPI# 1386664217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386664217 |
| Entity Type | Individual |
| Full Name | DR. SHAHLA S AZHDARI |
| Credential | DDS MS |
| Practice Address |
2280 Fairview Blvd Fairview TN 37062 |
| Mailing Address |
2280 Fairview Blvd Po Box 539 Fairview TN 37062 |
| Practice Telephone | 6157992090 |
| Practice Fax Number | 6157992038 |
| Mailing Telephone | 6157992090 |
| Mailing Fax Number | 6157992038 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS0000004256 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TN | 0056642 | 01 |
| TN | 0004944 | 05 | |
| UNITED CONCORDIA | 858251 | 01 |
| Street Address |
2280 FAIRVIEW BLVD |
| City | FAIRVIEW |
| State | TN |
| Zip Code | 37062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
| 1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
| 1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
| Find all providers in zip 37062 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457790396 | Devin Kye Krekel | Dentist | 7022 City Center Way, Fairview, TN 37062-6004 | 2013-06-24 |
| 1013209287 | Steven Richard Bench | Dentist | 229 South State, Fairview, UT 84629-0009 | 2011-05-06 |
| 1174757702 | Fairview Dental Associates, P.C. | Dentist | 1696 Fairview Blvd Ste 104, Fairview, TN 37062-5144 | 2009-05-11 |
| 1861553703 | Dentistry for Today, P.C. | Dentist | 2414a Heritage Trail, Fairview, OK 73737 | 2006-12-13 |
| 1437226438 | Steven R. Bench, Dds PC | Dentist | 229 S State St, Fairview, UT 84629 | 2006-11-29 |
| 1760569073 | Robert A. Marti, D.d.s., A Professional Corporation | Dentist | 917 N Main St, Fairview, OK 73737-1005 | 2006-11-01 |
| 1366525792 | Lone Star Family Dental | Dentist | 431 Stacy Rd, Suite 108, Fairview, TX 75069-8741 | 2006-10-21 |
| 1730289489 | Blanca C Lemus | Dentist | 741 River Oaks Dr, Fairview, TX 75069-9498 | 2006-09-23 |
| 1487750212 | Heather Hurst | Dentist | 7435 W Ridge Rd, Fairview, PA 16415-1171 | 2006-09-16 |
| 1528057098 | Paul Frank Luther Jr. | Dentist | 2140 Fairview Blvd, Fairview, TN 37062-9065 | 2005-10-18 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.