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REZA AZARI SAMANI, DDS PA
NPI 1114059201
Dentist - Prosthodontics in Jacksonville, FL

Active since March 12, 2007
14453 BEACH BLVD., SUITE 100, JACKSONVILLE, FL 32250(904) 992-8900(904) 992-4922 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reza Azari Samani, Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REZA AZARI SAMANI, DDS PA (NPI 1114059201) is a healthcare organization registered as a prosthodontics in Jacksonville, Florida and active in the NPI registry since March 2007. The organization lists Reza Azari Samani, Owner, as its authorized official.

NPPES Registry Identity

NPI1114059201
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameREZA AZARI SAMANI, DDS PA
Location Address14453 BEACH BLVD., SUITE 100Jacksonville, FL 32250
Mailing Address14453 Beach Blvd., Suite 100Jacksonville, FL 32250 · (904) 992-8900 · Fax (904) 992-4922
Phone(904) 992-8900
Fax(904) 992-4922
Organization SubpartNo
Authorized OfficialReza Azari SamaniOwner · (904) 992-8900
Enumeration DateMarch 12, 2007
Last NPPES UpdateJune 9, 2014
✔ NPI 1114059201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in FL · 12860
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

14453 BEACH BLVD., Jacksonville, FL 32250
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Other Identifiers 2

Other826747United Concordia
Other69855Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reza Azari Samani, Dds PA's NPI number?

The NPI number for Reza Azari Samani, Dds PA is 1114059201. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Reza Azari Samani, Dds PA located?

Reza Azari Samani, Dds PA is located at 14453 Beach Blvd. Suite 100, Jacksonville, FL 32250. The listed phone number is (904) 992-8900.

What is Reza Azari Samani, Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Reza Azari Samani, Dds PA accept?

Health plans from Delta Dental list Reza Azari Samani, Dds PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reza Azari Samani, Dds PA was last updated on June 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.