DR. MOHAMAD ELAZIZI BDS MSC NPI 1417389172

NPI Information

NPI: 1417389172
Provider Name: DR. MOHAMAD ELAZIZI, BDS, MSC
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
1281 FLORIDA AVE S
ROCKLEDGE, FL
ZIP 32955
Phone: (321) 632-3171
Get Directions

DR. Mohamad Elazizi, BDS, MSC is a periodontics dentist in Rockledge, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Mohamad Elazizi, BDS, MSC NPI is 1417389172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1281 FLORIDA AVE S
ROCKLEDGE, FL
ZIP 32955-439
Phone: (321) 632-3171

The NPI 1417389172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/5/2013 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN 20817	FLORIDA	No
2	122300000X	Dentist		2901021068	MICHIGAN	No
3	1223P0300X	Dentist	Periodontics	DN20817	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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