TAVALLAEI D.M.D. CORPORATION NPI 1871752915

NPI Information

  • NPI: 1871752915
  • Provider Name: TAVALLAEI, D.M.D., CORPORATION
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: MAKE A SMILE
  • Address: 2241 SUNSET BLVD
    SUITE D
    ROCKLIN, CA
    ZIP 95765
  • Phone: (916) 380-0102

Map and Directions

Get Directions

NPI Details

TAVALLAEI, D.M.D., CORPORATION is a pediatric dentistry dentist in Rocklin, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. TAVALLAEI, D.M.D., CORPORATION NPI is 1871752915. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Make A Smile.

The provider's business location address is:

2241 SUNSET BLVD
SUITE D
ROCKLIN, CA
ZIP 95765-295
Phone: (916) 380-0102
Fax: (916) 983-9012

The provider's authorized official is Monica Tavallaei .
The authorized official title is Pediatric Dentist and has the following contact phone number (916) 380-0102.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 4/12/2016.

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
11223P0221XDentistPediatric Dentistry48036CALIFORNIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI