R K NASSIRI DDS MSD INC NPI 1871034397

NPI Information

NPI: 1871034397
Provider Name: R K NASSIRI, DDS, MSD, INC

Doing Business As: LAMORINDA SMILE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3466 MT DIABLO BLVD
SUITE C207
LAFAYETTE, CA
ZIP 94549
Phone: (925) 298-5281
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R K NASSIRI, DDS, MSD, INC is a dental clinic center in Lafayette, CA. R K NASSIRI, DDS, MSD, INC NPI is 1871034397. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lamorinda Smile.

The provider's business location address is:

3466 MT DIABLO BLVD
SUITE C207
LAFAYETTE, CA
ZIP 94549-106
Phone: (925) 298-5281
Fax: (925) 298-5419

The provider's authorized official is Ramtin Nassiri .
The authorized official title is President and has the following contact phone number (925) 298-5281.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 3/16/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	53997	CALIFORNIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	55427	CALIFORNIA	No
3	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	54020	CALIFORNIA	No
4	261QD0000X	Clinic/Center	Dental	54020	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1124121231	OTHER	CALIFORNIA	INDIVIDUAL NPI

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: 5/5/2024

NPI Synchronization or Removal

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