# DR. ALI JOHN JAZAYERI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174748123
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 053328 | NY | — |
| 1223G0001X | General Practice Dentistry | 64198 | CA | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 05/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02838737 | — | NY |
| 05 | — | 03059698 | — | NY |