Tavallaei, D.M.D., Corporation in El Dorado Hills - Pediatric Dentistry
Tavallaei, D.M.D., Corporation - NPI 1184780587
Tavallaei, D.M.D., Corporation is a Pediatric Dentistry in El Dorado Hills, California. Tavallaei, D.M.D., Corporation practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tavallaei, D.M.D., Corporation is 1184780587. The last update date is 2022-08-04.
Tavallaei, D.M.D., Corporation's current location address is 3840 El Dorado Hills Blvd, El Dorado Hills, California. You can contact this provider via phone number 9169410303 and fax number 9169839012. The mailing address for Tavallaei, D.M.D., Corporation is 3840 El Dorado Hills Blvd, El Dorado Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tavallaei, D.M.D., Corporation |
|---|---|
| Address | 3840 El Dorado Hills Blvd, El Dorado Hills, California |
| Phone Number | 9169410303 |
| Fax Number | 9169839012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Tavallaei Monica |
| Credentials | D.M.D. |
| Telephone Number | 9169410303 |
NPI Number Detail
| NPI Number | 1184780587 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2022-08-04 |
Provider Mailing Address Detail
| Address | 3840 El Dorado Hills Blvd |
|---|---|
| City | El Dorado Hills |
| State | California (CA) |
| Post Code | 957624567 |
| Phone Number | 9169410303 |
| Fax Number | 9169839012 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 48036 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tavallaei, D.M.D., Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Tavallaei, D.M.D., Corporation has been assigned the NPI (National Provider Identifier) 1184780587. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Tavallaei, D.M.D., Corporation?
The Tavallaei, D.M.D., Corporation is situated at 3840 El Dorado Hills Blvd, in the city of El Dorado Hills, state of CA, with the zip code 957624567.
What is Tavallaei, D.M.D., Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tavallaei, D.M.D., Corporation is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184780587 to Tavallaei, D.M.D., Corporation?
The Tavallaei, D.M.D., Corporation received its 1184780587 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information pertaining to Tavallaei, D.M.D., Corporation most recently updated or revised?
The details related to Tavallaei, D.M.D., Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-04.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH