PENINSULA SPECIALTY DENTAL CARE NPI 1053126201

NPI Information

  • NPI: 1053126201
  • Provider Name: PENINSULA SPECIALTY DENTAL CARE
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 562 RALSTON AVE
    BELMONT, CA
    ZIP 94002
  • Phone: (650) 654-1854

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NPI Details

PENINSULA SPECIALTY DENTAL CARE is an endodontics dentist in Belmont, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PENINSULA SPECIALTY DENTAL CARE NPI is 1053126201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

562 RALSTON AVE
BELMONT, CA
ZIP 94002-832
Phone: (650) 654-1854

The provider's authorized official is Rahmat Barkhordar .
The authorized official title is President and has the following contact phone number (650) 654-1854.

The enumeration date for this NPI number is 2/12/2025 and was last updated on 2/12/2025.

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
11223E0200XDentistEndodonticsYes

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: 11/21/2025

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