Provider Demographics
NPI:1992321400
Name:AZIZ, TAHA SYED (DDS)
Entity type:Individual
Prefix:DR
First Name:TAHA
Middle Name:SYED
Last Name:AZIZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 E DARTMOUTH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5022
Mailing Address - Country:US
Mailing Address - Phone:720-400-7325
Mailing Address - Fax:
Practice Address - Street 1:12101 E DARTMOUTH AVE STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5022
Practice Address - Country:US
Practice Address - Phone:720-400-7325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002045461223G0001X
COT-DEN.000000501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice