Reza Azari Samani, Dds Pa
Prosthetic Dentistry Clinic
14453 Beach Blvd., Suite 100, Jacksonville
Florida, 32250
904-992-8900 904-992-4922
Maps & DirectionsReza Azari Samani, Dds Pa is a Prosthetic Dentistry Clinic in Jacksonville, Florida. It is located at 14453 Beach Blvd., Suite 100, Jacksonville, FL and its contact number is 904-992-8900. The authorized person for Reza Azari Samani, Dds Pa is Reza Azari Samani
who is Owner of the clinic and their contact number is 904-992-8900. The primary license number for Reza Azari Samani, Dds Pa is 12860 (Prosthodontics) in Florida.
Reza Azari Samani, Dds Pa Clinic is specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Clinic Profile:
Reza Azari Samani, Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Reza Azari Samani, Dds Pa |
| Specialization: | Prosthetic Dentistry |
| Clinic Address: | 14453 Beach Blvd., Suite 100, Jacksonville,
Florida, 32250 |
| Phone: | 904-992-8900 |
| Fax: | 904-992-4922 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Reza Azari Samani |
| Position: | Owner |
| Contact Number: | 904-992-8900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Reza Azari Samani, Dds Pa clinic are as mentioned below.
| NPI Number: | 1114059201 |
| NPI Enumeration Date: | 12 Mar, 2007 |
| NPI Last Update On: | 09 Jun, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Reza Azari Samani, Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthodontics | 12860 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 69855 | Other | | Blue Cross Blue Shield |
| 826747 | Other | | United Concordia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Reza Azari Samani, Dds Pa
14453 Beach Blvd., Suite 100
Jacksonville, Florida |
| Zip: | 32250 |
| Phone Number: | 904-992-8900 |
| Fax Number: | 904-992-4922 |
Patients can reach Reza Azari Samani, Dds Pa at
14453 Beach Blvd., Suite 100, Jacksonville, Florida or can
call to book an appointment on 904-992-8900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.