IndividualActive
Abdul Azizi, DMD
NPI 1053329995 · Oral and Maxillofacial Surgery (Dentist) · Mount Dora, FL
Provider details
- NPI number
- 1053329995
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN15621 (FL)
Practice location
19051 US Highway 441 Ste 100
Mount Dora, FL 32757-6708
Phone: (352) 735-5005
Mailing address
801 Champion Woods Ct
Sanford, FL 32771-7164
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2013-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.