IndividualActive
Adam Jazaerly
NPI 1649108937 · General Practice Dentistry · Maumee, OH
Provider details
- NPI number
- 1649108937
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30.028395 (OH)
Specialties & taxonomies
Dental Providers
Practice location
3550 Briarfield Blvd Ste 100
Maumee, OH 43537-9184
Phone: (419) 430-5064
Approximate (ZIP-level) locationGet directions
Mailing address
4333 Bristol Dr
Troy, MI 48085-4867
Registry dates
- Enumerated
- 2026-05-08
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.