Provider Demographics
NPI:1417350117
Name:KAZMI, NUMAIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NUMAIR
Middle Name:
Last Name:KAZMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 E BROAD ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5629
Mailing Address - Country:US
Mailing Address - Phone:682-518-5856
Mailing Address - Fax:682-518-1532
Practice Address - Street 1:3300 E BROAD ST
Practice Address - Street 2:SUITE 120
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5629
Practice Address - Country:US
Practice Address - Phone:682-518-5856
Practice Address - Fax:682-518-1532
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30136122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist