Provider Demographics
NPI:1437233129
Name:SAFAVIZADEH, ROZITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROZITA
Middle Name:
Last Name:SAFAVIZADEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14820 PHYSICIANS LANE
Mailing Address - Street 2:SUITE 141
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-838-8725
Mailing Address - Fax:301-838-8726
Practice Address - Street 1:14820 PHYSICIANS LANE
Practice Address - Street 2:SUITE 141
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-838-8725
Practice Address - Fax:301-838-8726
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12397122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist