Azita Anissi, D.D.S.
Dentist in Pittsford, NY. Individual provider (NPI-1).
NPI number1851326136
StatusActive
Last updated in NPPESOct 9, 2009
Details
- NPI
- 1851326136
- Entity type
- Individual (NPI-1)
- Name
- Azita Anissi
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2006
- Last updated
- Oct 9, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Dec 30, 2024 to Dec 30, 2026
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 043423-1 | NY | Yes |
Practice location
121 Sully'S TrailSuite 1
Pittsford, NY 14534
Phone 585-267-7745 · Fax 585-267-7748
Mailing address
121 Sully'S TrailSuite 1
Pittsford, NY 14534
Phone 585-267-7745 · Fax 585-267-7748
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Dentist providers in Pittsford · All 730 providers in Pittsford
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