ORAL AND MAXILLOFACIAL PROSTHODONTICS
NPI 1770011926
Dentist - Prosthodontics in Saint Louis, MO

Active since June 01, 2017
517 S EUCLID AVE BLDG STE 819, SAINT LOUIS, MO 63110(314) 362-8574 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Oral And Maxillofacial Prosthodontics NPPES

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

ORAL AND MAXILLOFACIAL PROSTHODONTICS (NPI 1770011926) is a healthcare organization registered as a prosthodontics in Saint Louis, Missouri and active in the NPI registry since June 2017. The organization lists Ann Vitale, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1770011926
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameAZADEH AFSHARI, DDS LLC
Location Address517 S EUCLID AVE BLDG STE 819Saint Louis, MO 63110-1007
Mailing Address517 South Euclid Ave, Mcmillan Bldg Ste 819Saint Louis, MO 63110-1007
Organization SubpartNo
Authorized OfficialAnn VitalePractice Administrator · (314) 362-8574
Enumeration DateJune 1, 2017
✔ NPI 1770011926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
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.
517 S EUCLID AVE BLDG STE 819, Saint Louis, MO 63110

Other Names 1

Doing Business AsOral And Maxillofacial Prosthodontics

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Maxillofacial Prosthodontics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oral And Maxillofacial Prosthodontics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1770812182
1 BARNES JEWISH HOSPITAL PLZ STE 240
Saint Louis, MO 63110
(314) 362-8574
✔ PECOS✔ Accepts Medicare4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Azadeh Afshari, Dds LLC's NPI number?

The NPI number for Azadeh Afshari, Dds LLC is 1770011926. It was assigned to this organization in the NPPES registry on June 1, 2017. The provider is doing business as Oral And Maxillofacial Prosthodontics.

Where is Azadeh Afshari, Dds LLC located?

Azadeh Afshari, Dds LLC is located at 517 S Euclid Ave Bldg Ste 819, Saint Louis, MO 63110. The listed phone number is (314) 362-8574.

What is Azadeh Afshari, Dds LLC's specialty?

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

Is Azadeh Afshari, Dds LLC enrolled in Medicare?

Yes. Azadeh Afshari, Dds LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azadeh Afshari, Dds LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Azadeh Afshari, Dds LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azadeh Afshari, Dds LLC was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.