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ABDAL AZIZ ALFARRA DDS
NPI 1417631300
Dentist - Endodontics in Saint Louis, MO

Active since June 12, 2023
1500 PARK AVE, SAINT LOUIS, MO 63104(314) 814-8579 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Jun 12, 2023 (2 updates tracked since 2023).

About Abdal Aziz Alfarra Dds NPPES

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

ABDAL AZIZ ALFARRA DDS (NPI 1417631300) is an individual endodontics provider in Saint Louis, Missouri, licensed in Missouri (2023020970) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1417631300
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameABDAL AZIZ ALFARRACredential: DDS
Location Address1500 PARK AVESaint Louis, MO 63104-3024
Mailing Address42 4 Seasonsshopping Ctr Ste 128Chesterfield, MO 63017-3197 · (603) 229-8369 · Fax (314) 205-8778
Phone(314) 814-8579
Sole ProprietorNo
Enumeration DateJune 12, 2023
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1417631300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MO · 2023020970
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1500 PARK AVE, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

YASMEEN FATIMA
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 814-8700
CADEN HEATON
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (801) 603-1633
KATHERINE GRACE RUDDELL
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 252-8429
IQRA AZFAR
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (866) 626-2878
JAMIL SEIDU
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
ABRAHAM A. HARAKE
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (734) 666-8281
FAISAL KHAN
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
DAKSH DESAI
Counselor (Addiction (Substance Use Disorder))
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700

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 Abdal Aziz Alfarra's NPI number?

The NPI number for Abdal Aziz Alfarra is 1417631300. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Abdal Aziz Alfarra located?

Abdal Aziz Alfarra practices at 1500 Park Ave, Saint Louis, MO 63104. The listed phone number is (314) 814-8579.

What is Abdal Aziz Alfarra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Abdal Aziz Alfarra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Abdal Aziz Alfarra 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 Abdal Aziz Alfarra was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.