Provider Demographics
NPI:1366970063
Name:NAZARIAN, RAMI (DDS)
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:
Last Name:NAZARIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RAMI
Other - Middle Name:
Other - Last Name:NAZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:G3535 BEECHER RD STE J
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2700
Mailing Address - Country:US
Mailing Address - Phone:810-230-7483
Mailing Address - Fax:810-230-2660
Practice Address - Street 1:G3535 BEECHER RD STE J
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-2700
Practice Address - Country:US
Practice Address - Phone:810-230-7483
Practice Address - Fax:810-230-2660
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901022259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist