Individual ProviderNiloufar AzamiDentistDental ProvidersPractice Address263 Farmington Ave, Uconn School Of Dental Medic, Farmington, CT 06030-0001(860) 679-2000(860) 709-3175PECOS EnrollmentBased on the most recent information from CMS, provider Niloufar Azami is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1457727349Provider TypeIndividualFull NameAzami, NiloufarGenderFemaleSole ProprietorNoEnumeration Date8/14/2015Last Updated10/27/2021Contact InformationPractice LocationPractice Address263 Farmington Ave, Uconn School Of Dental Medic, Farmington, CT 06030-0001Phone(860) 679-2000FaxUnlisted FaxMailing LocationMailing Address52 Colonial Ct, Plainville, CT 06062-2002Phone(860) 709-3175FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicense13277ConnecticutCode1223X0400XDescriptionDentistDental ProvidersLicense35048TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer