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M. TAVALLAEI DMD INC. NPI 1750614541


NPI Information

NPI: 1750614541
Provider Name: M. TAVALLAEI, DMD, INC.

Doing Business As: SMILE TIME DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 05D2216329

Address:
6000 FAIRWAY DR
SUITE 8B
ROCKLIN, CA
ZIP 95677
Phone: (916) 984-4224
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M. TAVALLAEI, DMD, INC. is a general practice dentist in Rocklin, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. M. TAVALLAEI, DMD, INC. NPI is 1750614541. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smile Time Dental.

The provider's business location address is:

6000 FAIRWAY DR
SUITE 8B
ROCKLIN, CA
ZIP 95677-244
Phone: (916) 984-4224
Fax: (916) 984-4248

The provider's authorized official is Monica Tavallaei .
The authorized official title is Owner and has the following contact phone number (916) 984-4224.

The CLIA number assigned to this NPI record is 05D2216329 - other - dental with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 1/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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