Provider Demographics
NPI:1396801726
Name:QAZI, NAUREEN (DDS)
Entity type:Individual
Prefix:DR
First Name:NAUREEN
Middle Name:
Last Name:QAZI
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 1:2908 OAK LAKE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-8700
Mailing Address - Country:US
Mailing Address - Phone:704-357-9955
Mailing Address - Fax:
Practice Address - Street 1:2908 OAK LAKE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-8700
Practice Address - Country:US
Practice Address - Phone:704-357-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7542122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902V0Medicaid