Individual provider · NPI-1

Dr. Azizat Adediran

Dentist, Orthodontics and Dentofacial Orthopedics · Worcester, MA

NPI number1144137902
StatusActive
Last updated in NPPESSep 28, 2026

Details

NPI
1144137902
Entity type
Individual (NPI-1)
Name
Dr. Azizat Adediran
Sex
Female
Sole proprietor
No
Enumeration date
Aug 26, 2026
Certification date
Sep 28, 2026
Last updated
Sep 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsDN10001676MAYes

Practice location

388 Park Ave
Worcester, MA 01610-1025

Phone 617-702-0202

Mailing address

5 Mount Royal Ave
Marlborough, MA 01752-1981

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