MOMANI DDS INC. NPI 1790402014

NPI Information

  • NPI: 1790402014
  • Provider Name: MOMANI DDS INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 125 ASCOT DR STE D
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 839-3050

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NPI Details

MOMANI DDS INC. is a general practice dentist in Roseville, 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. MOMANI DDS INC. NPI is 1790402014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 ASCOT DR STE D
ROSEVILLE, CA
ZIP 95661-408
Phone: (916) 839-3050
Fax: (916) 860-1965

The provider's authorized official is Ahmad I Momani .
The authorized official title is Ceo/dds and has the following contact phone number (209) 337-4777.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.

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
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: 11/21/2025

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