Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hirezi Hirezi DMD PA

Organization Dental Clinic/Center · NPI 1679905848

Hirezi Hirezi DMD PA is a Dental Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4495 Baymeadows Rd
Jacksonville, FL 32217-4716
Phone: (904) 733-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 13089 (FL)

Record details

NPI number1679905848
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHirezi Family Dentistry
Authorized official Lottie Descallar — Practice Adminisrator · (904) 733-9191
Other names Hirezi Family Dentistry
NPI enumeratedJuly 30, 2013
Last updated in NPPESJuly 30, 2013
Mailing address4495 Baymeadows Rd, Jacksonville, FL 32217-4716

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