DR. MARK ANTHONY AZZOPARDI (NPI# 1710063631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710063631 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY AZZOPARDI |
| Credential | DDS |
| Practice Address |
39595 W 10 Mile Rd #107 Novi MI 48375-2948 |
| Practice Telephone | 2484760800 |
| Practice Fax Number | 2484765531 |
| Mailing Telephone | 2484760800 |
| Mailing Fax Number | 2484765531 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901013122 | MI | Dental Providers |
| Street Address |
39595 W 10 MILE RD #107 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259948 | Nds Radiology Pllc | Clinic/Center | 39595 W 10 Mile Rd, Suite 102, Novi, MI 48375-2948 | 2005-10-18 |
| 1376787655 | Jeffrey Senechal | Chiropractor | 39595 W 10 Mile Rd, Suite 112, Novi, MI 48375-2948 | 2009-04-30 |
| 1437399870 | Oakland Oral Surgery Associates | Dentist | 39595 W 10 Mile Rd, Suite 107, Novi, MI 48375-2948 | 2009-02-25 |
| 1427227461 | Benjamin Krpichak M.d. P.C. | Physical Medicine & Rehabilitation | 39595 W 10 Mile Rd, Novi, MI 48375-2948 | 2008-02-25 |
| 1295915031 | Constance J. Creech | Nurse Practitioner | 39595 W 10 Mile Rd, Novi, MI 48375-2948 | 2007-11-09 |
| 1205999364 | Randall Tent | Chiropractor | 39595 W 10 Mile Rd, Suite 112, Novi, MI 48375-2948 | 2006-12-19 |
| 1316000391 | Diverse Health Services Pllc | Chiropractor | 39595 W 10 Mile Rd, Suite 112, Novi, MI 48375-2948 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376712968 | Warren Vallerand, Dds, Md, PC | Dentist | 40399 Grand River Ave, Suite 140, Novi, MI 48375-2148 | 2008-02-27 |
| 1831277904 | Robert Nicholas Chames | Dentist | 39595 Ten Mile, 107, Novi, MI 48375-2948 | 2006-11-02 |
| 1144287921 | Warren Paul Vallerand | Dentist | 40399 Grand River Avenue, Suite 140, Novi, MI 48375 | 2006-04-27 |
| 1437399870 | Oakland Oral Surgery Associates | Dentist | 39595 W 10 Mile Rd, Suite 107, Novi, MI 48375-2948 | 2009-02-25 |
| 1003097650 | Arvind Gulati Dds PC | Dentist | 23655 Novi Rd Ste 103, Novi, MI 48375-5442 | 2007-11-23 |
| 1386867802 | Steve L Wolf Dds PC | Dentist | 23895 Novi Rd, Suite 200, Novi, MI 48375-0201 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080414 | Shawn J Kim | Dentist | 425 E Washington St Apt 811, Ann Arbor, MI 48104-2060 | 2020-07-08 |
| 1760008528 | Great Lakes Oral and Maxillofacial Surgery P.C. | Dentist | 2325 Summit Park Dr Ste D, Petoskey, MI 49770-8774 | 2020-06-17 |
| 1962969634 | Garfield Road Dental - 1 | Dentist | 41781 Garfield Rd, Clinton Township, MI 48038-1964 | 2019-02-28 |
| 1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
| 1811378508 | Christopher Niquette | Dentist | 2119 64th Street Sw, Byron Center, MI 49315-4931 | 2015-06-18 |
| 1528446069 | Douglas David Orzel | Dentist | 9021 N Rodgers Ct Se Ste A, Caledonia, MI 49316-7650 | 2015-05-17 |
| 1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
| 1831536861 | Claude Charles Lerose Jr. | Dentist | 20675 Mack Ave, Grosse Pointe Woods, MI 48236 | 2013-05-31 |
| 1821433566 | Curtis Cardon | Dentist | 5957 Harvey St Ste 200, Norton Shores, MI 49444-9737 | 2013-05-08 |
| 1043568694 | Nick Leone Dds PC | Dentist | 28018 Harper Ave., St. Clair Shores, MI 48081-1562 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
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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.