Provider Demographics
NPI:1114445921
Name:NUMAIR KAZMI D.D.S.
Entity Type:Organization
Organization Name:NUMAIR KAZMI D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NUMAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:682-708-3095
Mailing Address - Street 1:4612 GRANBURY RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-1212
Mailing Address - Country:US
Mailing Address - Phone:682-708-3095
Mailing Address - Fax:682-708-3096
Practice Address - Street 1:4612 GRANBURY RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-1212
Practice Address - Country:US
Practice Address - Phone:682-708-3095
Practice Address - Fax:682-708-3096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX301361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1417350117OtherNPI TYPE 1