Provider Demographics
NPI:1619942067
Name:MAJID, AZIZ A (DMD;MSD)
Entity Type:Individual
Prefix:DR
First Name:AZIZ
Middle Name:A
Last Name:MAJID
Suffix:
Gender:M
Credentials:DMD;MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 NORTH PROGRESS AVENUE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110
Mailing Address - Country:US
Mailing Address - Phone:717-652-5288
Mailing Address - Fax:717-652-8209
Practice Address - Street 1:3540 N PROGRESS AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9481
Practice Address - Country:US
Practice Address - Phone:717-652-5288
Practice Address - Fax:717-652-8209
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0187321223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA165584OtherUNITED CONCORDIA