Provider Demographics
NPI:1548484389
Name:NORUZI, KAMY (DMD)
Entity type:Individual
Prefix:DR
First Name:KAMY
Middle Name:
Last Name:NORUZI
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 1:2075 BLACKBERRY DR
Mailing Address - Street 2:FOX RIVER PERIODONTICS
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134
Mailing Address - Country:US
Mailing Address - Phone:630-232-7400
Mailing Address - Fax:630-232-7590
Practice Address - Street 1:2075 BLACKBERRY DR
Practice Address - Street 2:FOX RIVER PERIODONTICS
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134
Practice Address - Country:US
Practice Address - Phone:630-232-7400
Practice Address - Fax:630-232-7590
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223P0300XDental ProvidersDentistPeriodontics