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DARRYL T. AZOUZ, D.D.S., INC.
NPI 1467213918
Clinic/Center - Dental in South Lake Tahoe, CA

Active since January 22, 2024
1077 4TH ST, SOUTH LAKE TAHOE, CA 96150(530) 541-1353 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Darryl T. Azouz, D.d.s., Inc. NPPES

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

DARRYL T. AZOUZ, D.D.S., INC. (NPI 1467213918) is a healthcare organization registered as a dental in South Lake Tahoe, California and active in the NPI registry since January 2024. The organization lists Merecedes Figueroa, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1467213918
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDARRYL T. AZOUZ, D.D.S., INC.
Location Address1077 4TH STSouth Lake Tahoe, CA 96150-3486
Mailing Address19601 N Black Canyon Hwy Ste 201Phoenix, AZ 85027-4107 · (623) 289-3392 · Fax (623) 289-2015
Phone(530) 541-1353
Organization SubpartNo
Authorized OfficialMerecedes FigueroaCredentialing Specialist · (623) 289-3392
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1467213918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1077 4TH ST, South Lake Tahoe, CA 96150
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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.

DR. CHRIS ALLEN CERCEO D.D.S.
Dentist (General Practice)
1077 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-1353
DR. JEANIE F KAUFMAN D.D.S.
Dentist
1077 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-1353

Frequently Asked Questions

What is DARRYL T. AZOUZ, D.D.S., INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1467213918, enumerated as an "organization" on January 22, 2024.

Where is the provider located?

The provider is located at 1077 4TH ST SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 541-1353.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.