IndividualActive
Alan Dzhabiev
NPI 1770151474 · General Practice Dentistry · Clover, SC
Provider details
- NPI number
- 1770151474
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D011064 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
140 Highway 274
Clover, SC 29710-6045
Phone: (803) 752-0565
Approximate (ZIP-level) locationGet directions
Mailing address
11177 N Oracle Rd Apt 12104
Oro Valley, AZ 85737-5655
Additional practice locations (2)
- 1880 E Tangerine Rd Ste 190Oro Valley, AZ 85755-6239Phone: (520) 544-5590
- 6414 Rea Rd Ste C5Charlotte, NC 28277-4165Phone: (704) 704-2499
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2024-12-03
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.