ALIRAAD MOATTAR DDS INC NPI 1871167478

NPI Information

  • NPI: 1871167478
  • Provider Name: ALIRAAD MOATTAR DDS INC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 3748 MONTGOMERY DR
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 546-7905

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NPI Details

ALIRAAD MOATTAR DDS INC is an endodontics dentist in Santa Rosa, 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. ALIRAAD MOATTAR DDS INC NPI is 1871167478. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3748 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405-215
Phone: (707) 546-7905
Fax: (707) 546-1573

The provider's authorized official is Ali-raad Moattar .
The authorized official title is Owner Dentist and has the following contact phone number (707) 546-7905.

The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.

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

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
159502OTHERCALIFORNIADENTIST

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: 3/30/2025

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