Tavallaei, D.M.D., Corporation in Rocklin - Pediatric Dentistry
Tavallaei, D.M.D., Corporation - NPI 1871752915
Tavallaei, D.M.D., Corporation is a Pediatric Dentistry in Rocklin, 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 1871752915. The last update date is 2016-04-12.
Tavallaei, D.M.D., Corporation's current location address is 2241 Sunset Blvd, Rocklin, California. You can contact this provider via phone number 9163800102 and fax number 9169839012. The mailing address for Tavallaei, D.M.D., Corporation is 2241 Sunset Blvd, Rocklin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tavallaei, D.M.D., Corporation |
|---|---|
| Address | 2241 Sunset Blvd, Rocklin, California |
| Phone Number | 9163800102 |
| Fax Number | 9169839012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Tavallaei Monica |
| Credentials | DMD |
| Telephone Number | 9163800102 |
NPI Number Detail
| NPI Number | 1871752915 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2016-04-12 |
Provider Mailing Address Detail
| Address | 2241 Sunset Blvd |
|---|---|
| City | Rocklin |
| State | California (CA) |
| Post Code | 957654295 |
| Phone Number | 9163800102 |
| 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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What is the Tavallaei, D.M.D., Corporation's unique identification number?
The Tavallaei, D.M.D., Corporation has been assigned the NPI (National Provider Identifier) Number 1871752915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Tavallaei, D.M.D., Corporation?
The Tavallaei, D.M.D., Corporation is situated at 2241 Sunset Blvd, in the city of Rocklin, state of CA, with the zip code 957654295.
What is the area of specialization for Tavallaei, D.M.D., Corporation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tavallaei, D.M.D., Corporation is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871752915 to Tavallaei, D.M.D., Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1871752915 to Tavallaei, D.M.D., Corporation on 2008-06-04.
When was the information related to Tavallaei, D.M.D., Corporation most recently updated or refreshed?
The details pertaining to the Tavallaei, D.M.D., Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-12.