Provider Demographics
NPI:1548006752
Name:SEMYARY, ASHKAN R (DMD)
Entity type:Individual
Prefix:DR
First Name:ASHKAN
Middle Name:R
Last Name:SEMYARY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 S COUNTRY CLUB WAY APT 4002
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-0972
Mailing Address - Country:US
Mailing Address - Phone:954-501-1398
Mailing Address - Fax:
Practice Address - Street 1:6232 N 7TH ST STE 201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1852
Practice Address - Country:US
Practice Address - Phone:602-246-0385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD012188122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist