Provider Demographics
NPI:1598649899
Name:ALMAZIDI, MAZIDI EMEM (BSC, DDS)
Entity type:Individual
Prefix:DR
First Name:MAZIDI
Middle Name:EMEM
Last Name:ALMAZIDI
Suffix:
Gender:M
Credentials:BSC, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E. BYRD ST APT 6229
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219
Mailing Address - Country:US
Mailing Address - Phone:804-245-7480
Mailing Address - Fax:
Practice Address - Street 1:520 N. 12TH STREET, THE VCU SCHOOL OF DENTISTRY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0564
Practice Address - Country:US
Practice Address - Phone:804-245-7480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program