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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477042778

Dr. Khashayar Azimi, DDS is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576
Phone: (313) 494-6944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901022610 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477042778
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

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