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

Reza Azari Samani, DDS PA

Organization Prosthodontics · NPI 1114059201

Reza Azari Samani, DDS PA is a Prosthodontics in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

14453 Beach Blvd Ste 100
Jacksonville, FL 32250
Phone: (904) 992-8900
Fax: (904) 992-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 12860 (FL)

Record details

NPI number1114059201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reza Samani — Owner · (904) 992-8900
NPI enumeratedMarch 12, 2007
Last updated in NPPESJune 9, 2014
Mailing address14453 Beach Blvd., Suite 100, Jacksonville, FL 32250

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