Provider Demographics
NPI:1316839236
Name:AZIZ, ADIL ALI (DDS)
Entity type:Individual
Prefix:
First Name:ADIL
Middle Name:ALI
Last Name:AZIZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16735 LA CANTERA PKWY APT 14204
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1795
Mailing Address - Country:US
Mailing Address - Phone:251-303-5534
Mailing Address - Fax:
Practice Address - Street 1:5311 N LOOP 1604 W SUITE 123, SAN ANTONIO, TX 78249
Practice Address - Street 2:APARTMENT 14204
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256
Practice Address - Country:US
Practice Address - Phone:210-693-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41658122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist