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DR. MARYAM BRAZDO DMD
NPI 1265694236
Dentist in Melbourne, FL

Active since June 30, 2008
1061 S WICKHAM RD, MELBOURNE, FL 32904(321) 722-0155 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Maryam Brazdo Dmd NPPES

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

DR. MARYAM BRAZDO DMD (NPI 1265694236) is an individual dentist in Melbourne, Florida, licensed in Florida (DN18392) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1265694236
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARYAM BRAZDOCredential: DMD
Location Address1061 S WICKHAM RDMelbourne, FL 32904-1652
Mailing Address1061 S Wickham RdMelbourne, FL 32904-1652 · (321) 243-2030
Phone(321) 722-0155
Sole ProprietorNo
Enumeration DateJune 30, 2008
Last NPPES UpdateMarch 21, 2012
✔ NPI 1265694236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN18392
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1061 S WICKHAM RD, Melbourne, FL 32904
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYAM BRAZDO, DMD, PA
Dentist (General Practice)
1061 S WICKHAM RD
MELBOURNE, FL 32904
Brevard County (321) 724-1400
DR. JANICE G WAHL DMD
Dentist (General Practice)
1061 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 724-1400

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 Maryam Brazdo's NPI number?

The NPI number for Maryam Brazdo is 1265694236. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Maryam Brazdo located?

Maryam Brazdo practices at 1061 S Wickham Rd, Melbourne, FL 32904. The listed phone number is (321) 722-0155.

What is Maryam Brazdo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Maryam Brazdo was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.