Individual provider · Type 1 NPI

Ali Sam Azadi, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Alpharetta, GA

NPI number 1124772397 Active

Practice location

12385 Crabapple Rd Ste 100
Alpharetta, GA 30004-6357

Call (770) 664-1999 Map

Other practice locations

1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 · (706) 721-2371

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	DN122696 (GA)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN122696 (GA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124772397

Ali Sam Azadi, DMD's National Provider Identifier is 1124772397, issued on Feb 7, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Alpharetta, GA. The record was last updated on Oct 15, 2024.