Provider Demographics
NPI:1841209095
Name:NAMAZI, HAMID KARIM (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:KARIM
Last Name:NAMAZI
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:DR
Other - First Name:HAMID
Other - Middle Name:K
Other - Last Name:NAMAZI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS,PHD
Mailing Address - Street 1:3525 W DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7900
Mailing Address - Country:US
Mailing Address - Phone:614-764-1178
Mailing Address - Fax:
Practice Address - Street 1:3525 W DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7900
Practice Address - Country:US
Practice Address - Phone:614-764-1178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-195701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice